Percutaneous Balloon Valvuloplasty for Bioprosthetic Tricuspid Valve Stenosis.

Abstract

Percutaneous Balloon Valvuloplasty for Bioprosthetic Tricuspid Valve Stenosis (PBVBTV) is an accepted therapeutic option for symptomatic severe bioprothetic tricuspid valve stenosis, whereas a surgical tricuspid valve replacement remains the treatment of choice. There have been little reports of successful PBVBTV for bioprosthetic tricuspid valve stenosis. Herein we present a case performed at our hospital, with successful, reduction in valve gradient and lasting clinical improvement. We describe the standard technique used for PBVBTV. We present results from a literature review that identified 16 reported cases of PTTBV for bioprosthetic severe tricuspid stenosis, with favorable results. We conclude that PBVBTV maybe considered for a select patients in which symptomatic improvement and hemodynamic stability are desired immediately, and specially for patients who are inoperable or at high surgical risk.