• James Bentham, Shakeel Qureshi, Andreas Eicken, John Gibbs, George Ballard, and John Thomson.
• Yorkshire Heart Centre, Leeds General Infirmary, Leeds, United Kingdom.
• Catheter Cardiovasc Interv. 2013 Sep 1; 82 (3): 428-35.

ObjectiveTo describe the cases of percutaneous valve failure following implantation of the Medtronic Melody™ and the Edwards Sapien™ valve in the tricuspid position.BackgroundThere have been recent reports of the use of percutaneously delivered valves to manage failing bioprosthetic tricuspid valves. Total patient numbers remain small and follow-up times are limited.MethodsWe describe four procedures in three patients from two centers where implantation of percutaneous valves within the scaffold of a bioprosthetic tricuspid valve was technically successful but there was early valve failure.ResultsIn all cases, immediate results suggested excellent valve function; however, valve failure occurred early in three and later in one. Two patients elected for valve explantation and surgical placement of a further tricuspid valve. The third patient underwent a second percutaneous valve-in-valve procedure though this valve is also showing early signs of failure.ConclusionsTranscatheter placement of percutaneous valves in the tricuspid position is technically a relatively straightforward procedure but early valve failure raises some concerns about the viability of the valve in this position, at least in some patients.Copyright © 2013 Wiley Periodicals, Inc.

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