Hybrid Transcatheter Pulmonary Valve Replacement With SAPIEN S3 Following Right Ventricular Outflow Tract Reduction Using Tricuspid Annuloplasty Rings

Catheter Cardiovasc Interv. 2025 Jul;106(1):418-422. doi: 10.1002/ccd.31551. Epub 2025 Apr 27.

Abstract

We describe a novel variation of hybrid TPVR using a tricuspid annuloplasty ring which can be considered for patients with very large RVOT, short pulmonary artery, and limited vascular access and to avoid the risk of cardiopulmonary bypass. The utilization of Carpentier-Edwards Physio Tricuspid annuloplasty ring can reduce the size of the RVOT and at the same time the ring served as an effective docking site for the implantation of the SAPIEN S3 (Edwards Lifesciences). All three reported cases showed satisfactory immediate hemodynamic and clinical outcomes as well as at mid-term follow up.

Keywords: congenital heart disease; pulmonic valve intervention; transcatheter heart valve intervention.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Cardiac Catheterization* / instrumentation
  • Cardiac Valve Annuloplasty* / instrumentation
  • Female
  • Heart Valve Prosthesis
  • Heart Valve Prosthesis Implantation* / instrumentation
  • Heart Valve Prosthesis Implantation* / methods
  • Hemodynamics
  • Humans
  • Male
  • Prosthesis Design
  • Pulmonary Valve Insufficiency* / diagnostic imaging
  • Pulmonary Valve Insufficiency* / physiopathology
  • Pulmonary Valve Insufficiency* / surgery
  • Pulmonary Valve Insufficiency* / therapy
  • Pulmonary Valve* / diagnostic imaging
  • Pulmonary Valve* / physiopathology
  • Pulmonary Valve* / surgery
  • Recovery of Function
  • Treatment Outcome
  • Tricuspid Valve* / diagnostic imaging
  • Tricuspid Valve* / physiopathology
  • Tricuspid Valve* / surgery
  • Ventricular Outflow Obstruction* / diagnostic imaging
  • Ventricular Outflow Obstruction* / physiopathology
  • Ventricular Outflow Obstruction* / surgery