PMID- 29153244 OWN - NLM STAT- MEDLINE DCOM- 20190502 LR - 20190502 IS - 1879-1913 (Electronic) IS - 0002-9149 (Linking) VI - 121 IP - 2 DP - 2018 Jan 15 TI - Outcomes of Transcatheter Tricuspid Valve-in-Valve Implantation in Patients With Ebstein Anomaly. PG - 262-268 LID - S0002-9149(17)31627-2 [pii] LID - 10.1016/j.amjcard.2017.10.017 [doi] AB - We sought to describe the acute results and short- to medium-term durability of transcatheter tricuspid valve-in-valve (TVIV) implantation within surgical bioprostheses among patients with Ebstein anomaly (EA). Cases were identified from a voluntary, multicenter, international registry of 29 institutions that perform TVIV. Demographic, clinical, procedural, and follow-up data were analyzed. Eighty-one patients with EA underwent TVIV from 2008 to 2016. Thirty-four patients (42%) were New York Heart Association (NYHA) class 3/4 at time of TVIV. The most common indication for TVIV was the presence of moderate or severe tricuspid regurgitation (40%). Most patients received a Melody valve (64%). TVIV was ultimately successful in all patients, and there was no procedural mortality. Four patients (5%) developed acute valve thrombosis, 4 patients (5%) developed endocarditis, and 9 patients (11%) developed valve dysfunction not related to thrombosis or endocarditis. Eight patients (10%) underwent reintervention (2 transcatheter, 6 surgical) due to thrombosis (3), endocarditis (2), other valve dysfunction (2), and patient-prosthesis mismatch without valve dysfunction (1). Among 69 patients who were alive without reintervention at latest follow-up, 96% of those with NYHA status reported were class 1/2, a significant improvement from baseline (62% NYHA class 1/2, p <0.001). In conclusion, transcatheter TVIV offers a low-risk, minimally invasive alternative to surgical tricuspid valve re-replacement in patients with EA and a failing tricuspid valve bioprosthesis. CI - Copyright (c) 2017 Elsevier Inc. All rights reserved. FAU - Taggart, Nathaniel W AU - Taggart NW AD - Department of Pediatrics and Adolescent Medicine, Division of Pediatric Cardiology, Mayo Clinic, Rochester, Minnesota. Electronic address: taggart.nathaniel@mayo.edu. FAU - Cabalka, Allison K AU - Cabalka AK AD - Department of Pediatrics and Adolescent Medicine, Division of Pediatric Cardiology, Mayo Clinic, Rochester, Minnesota. FAU - Eicken, Andreas AU - Eicken A AD - Division of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Munich, Germany. FAU - Aboulhosn, Jamil A AU - Aboulhosn JA AD - Division of Cardiology, University of California-Los Angeles, Los Angeles, California. FAU - Thomson, John D R AU - Thomson JDR AD - Division of Pediatric and Adult Congenital Cardiology, Leeds General Infirmary, Leeds, United Kingdom. FAU - Whisenant, Brian AU - Whisenant B AD - Intermountain Heart Institute, Murray, Utah. FAU - Bocks, Martin L AU - Bocks ML AD - Department of Pediatrics, Division of Pediatric Cardiology, UH Rainbow Babies and Children's Hospital, Cleveland, Ohio. FAU - Schubert, Stephan AU - Schubert S AD - Division of Pediatric Cardiology, Deutsches Herzzentrum Berlin, Berlin, Germany. FAU - Jones, Thomas K AU - Jones TK AD - Division of Pediatric Cardiology, Seattle Children's Hospital, Seattle, Washington. FAU - Asnes, Jeremy D AU - Asnes JD AD - Section of Pediatric Cardiology, Yale University, New Haven, Connecticut. FAU - Fagan, Thomas E AU - Fagan TE AD - Division of Pediatric Cardiology, University of Tennessee Health Science Center, Memphis, Tennessee. FAU - Meadows, Jeffery AU - Meadows J AD - Division of Pediatric Cardiology University of California-San Francisco Medical Center, San Francisco, California. FAU - Hoyer, Mark AU - Hoyer M AD - Division of Pediatric Cardiology, Riley Hospital for Children, Indianapolis, Indianapolis. FAU - Martin, Mary H AU - Martin MH AD - Division of Pediatric Cardiology, Primary Children's Hospital, Salt Lake City, Utah. FAU - Ing, Frank F AU - Ing FF AD - Division of Cardiology, Children's Hospital of Los Angeles, Los Angeles, California. FAU - Turner, Daniel R AU - Turner DR AD - Division of Pediatric Cardiology, Children's Hospital of Michigan, Detroit, Michigan. FAU - Latib, Azeem AU - Latib A AD - Cardothoracic and Vascular Department, San Raffaele Hospital, Milan, Italy. FAU - Tzifa, Aphrodite AU - Tzifa A AD - Department of Pediatric Cardiology, Mitera Children's Hospital, Athens, Greece. FAU - Windecker, Stephan AU - Windecker S AD - Department of Cardiovascular Diseases, Swiss Cardiovascular Center, Bern, Switzerland. FAU - Goldstein, Bryan H AU - Goldstein BH AD - Division of Pediatric Cardiology, Cincinnati Children's Hospital, Cincinnati, Ohio. FAU - Delaney, Jeffrey W AU - Delaney JW AD - Division of Cardiology, Children's Hospital and Medical Center of Omaha, Omaha, Nebraska. FAU - Kuo, James A AU - Kuo JA AD - Division of Cardiology, Cook Children's Medical Center, Ft. Worth, Texas. FAU - Foerster, Susan AU - Foerster S AD - Herma Heart Center, Children's Hospital of Wisconsin, Milwaukee, Wisconsin. FAU - Gillespie, Matthew AU - Gillespie M AD - Cardiac Center, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania. FAU - Butera, Gianfranco AU - Butera G AD - Division of Pediatric and Adult Congenital Cardiology, IRCCS Policlinico San Donato, Milan, Italy. FAU - Shahanavaz, Shabana AU - Shahanavaz S AD - Division of Pediatric Cardiology, St. Louis Children's Hospital, St. Louis, Missouri. FAU - Horlick, Eric AU - Horlick E AD - Peter Munk Cardiac Centre, Toronto General Hospital, Toronto, Canada. FAU - Boudjemline, Younes AU - Boudjemline Y AD - Division of Pediatric Cardiology, Necker Enfants Malades Hospital, Paris, France. FAU - Dvir, Daniel AU - Dvir D AD - Division of Pediatric Cardiology, St. Paul's Hospital, Vancouver, Canada. FAU - McElhinney, Doff B AU - McElhinney DB AD - Division of Pediatric Cardiac Surgery, Division of Pediatric Cardiology, Stanford University, Palo Alto, California. CN - VIVID Registry LA - eng PT - Journal Article DEP - 20171019 PL - United States TA - Am J Cardiol JT - The American journal of cardiology JID - 0207277 SB - IM MH - Adolescent MH - Adult MH - Aged MH - Bioprosthesis MH - Cardiac Catheterization/methods MH - Ebstein Anomaly/complications/*surgery MH - Endocarditis/epidemiology MH - Female MH - Heart Valve Prosthesis MH - Heart Valve Prosthesis Implantation/*methods MH - Humans MH - Male MH - Middle Aged MH - Postoperative Complications/epidemiology MH - Prosthesis Failure MH - *Registries MH - Reoperation MH - Thrombosis/epidemiology MH - Treatment Outcome MH - Tricuspid Valve/*surgery MH - Tricuspid Valve Insufficiency/complications/*surgery MH - Young Adult EDAT- 2017/11/21 06:00 MHDA- 2019/05/03 06:00 CRDT- 2017/11/21 06:00 PHST- 2017/08/14 00:00 [received] PHST- 2017/09/25 00:00 [revised] PHST- 2017/10/04 00:00 [accepted] PHST- 2017/11/21 06:00 [pubmed] PHST- 2019/05/03 06:00 [medline] PHST- 2017/11/21 06:00 [entrez] AID - S0002-9149(17)31627-2 [pii] AID - 10.1016/j.amjcard.2017.10.017 [doi] PST - ppublish SO - Am J Cardiol. 2018 Jan 15;121(2):262-268. doi: 10.1016/j.amjcard.2017.10.017. Epub 2017 Oct 19.