Transcatheter primary mitral regurgitation repair and tricuspid replacement - LIVE case

• Part 1: Primary MR repair (recorded case)
  An 89-year-old male with atrial fibrillation, severe primary MR (prolapse A1-A2) with a preserved LV function. The operators implant 1 Pascal ACE, on general anaesthesia, guided by TEE.
• Part 2: Tricuspid valve in valve (Live case)
  A 52-year-old female, with diabetes and rheumatic disease: aortic Starr Edwards + mitral Bjork-Shiley (1990). Redo in 2012 for the mitral (25 mm OnX) + tricuspid (25mm perimount). She presents a severe Perimount stenosis with impaired RV function and preserved LV function. The operators implant a 26 mm Sapien 3 Ultra, on general anaesthesia and TEE guided without rapid pacing.

LIVE Case from St Thomas Hospital, London, UK

 
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Key moments

• 25:08 - 30:23 - Procedural analysis of the mitral TEER
• 35:37 - 40:15 - Imaging analysis of the tricuspid valve in valve
• 52:19 - 53:43 - Safari wire bending
• 58:02 - 01:02:42 - Valve deployment
• 01:23:50 - 01:27:48 - Procedural analysis of the tricuspid valve in valve

Keywords: Primary mitral regurgitation, TEER, Pascal Ace, tricuspid valve in valve, Sapien 3 ultra