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We present four cases of successful percutaneous valve replacements, each in a different anatomical position. The percutaneous approach was the preferred treatment in these four patients due to extensive comorbidities. Approaches ranged from valve-in-native to valve-in-valve and valve-in-homograft for aortic, mitral and tricuspid, and pulmonary valve respectively (Fig. 1a–d). The Edwards Sapien 3 valve was used off-label in all cases except for the aortic valve replacement. Angiographic imaging showed no insufficiency in all valves.
Fig. 1
a, b The semilunar valves with an Edwards Sapien 3 (29 mm) in native aortic valve stenosis (left panel) and off-label use of an Edwards Sapien 3 (23 mm) after deployment of two overlapping stents in a pulmonary homograft (right panel). c, d The atrioventricular valves with off-label valve-in-ring, using Edwards Sapien 3 (26 mm) because of mitral valve insufficiency after mitral valve plasty (left panel), and off-label valve-in-ring, using Edwards Sapien 3 (23 mm) because of tricuspid valve insufficiency after tricuspid valve plasty (right panel)
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Transcatheter aortic valve replacement has proven to be a good alternative treatment modality for surgical valve replacement [1]. Research on percutaneous valve implantation in pulmonic, mitral and tricuspid position is promising [2‐4]. Developments in this field will be beneficial, particularly for patients who are unfavourable candidates for open-heart surgery. Future studies should focus on feasibility and, in particular, on the long-term outcome of percutaneous treatment of valvular heart disease.
Conflict of interest
H.M. Aarts, A.O. Kraaijeveld, P.R. Stella and M. Voskuil declare that they have no competing interests.
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...
