One-Stage Transcatheter Aortic Valve Implantation and Transcatheter Edge-to-Edge Tricuspid Valve Repair for Double Valve Dysfunction in a High-Risk Patient.

IF 1 Q3 MEDICINE, GENERAL & INTERNAL Cureus Pub Date : 2023-09-20 eCollection Date: 2023-09-01 DOI:10.7759/cureus.45648
Besart Cuko, Massimo Baudo, Julien Ternacle, Lionel Leroux, Thomas Modine
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Abstract

A 75-year-old female patient was referred to our institution for severe symptomatic low-flow low-gradient aortic valve stenosis and tricuspid valve regurgitation (TR) associated with heart failure. After multidisciplinary discussion, the patient was scheduled for one-stage totally percutaneous treatment of her valve lesions by transcatheter aortic valve implantation (TAVI) and transcatheter edge-to-edge tricuspid valve repair (TEER) through transfemoral access. The patient had an uneventful hospital stay and was discharged home on the third postoperative day. During the following 24 months, the patient did well with regression of her heart failure signs and symptoms.

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高危患者双瓣膜功能障碍的一期经导管主动脉瓣植入和经导管边缘对边缘三尖瓣修复。
一名75岁的女性患者因严重症状性低流量低梯度主动脉瓣狭窄和与心力衰竭相关的三尖瓣反流(TR)被转诊至我们的机构。经过多学科讨论,患者计划通过经导管主动脉瓣植入术(TAVI)和经股动脉经导管边缘到边缘三尖瓣修复术(TEER)对其瓣膜病变进行一期完全经皮治疗。患者在医院度过了平静的一段时间,并于术后第三天出院回家。在接下来的24个月里,患者的心力衰竭体征和症状消退良好。
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