Hybrid Perventricular Venus P-Valve Implantation Via Mini-Thoracotomy in a Patient With Mechanical Tricuspid Valve
JACC: Case Reports, cilt.31, sa.29, 2026 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 31 Sayı: 29
- Basım Tarihi: 2026
- Doi Numarası: 10.1016/j.jaccas.2026.108464
- Dergi Adı: JACC: Case Reports
- Derginin Tarandığı İndeksler: Scopus, EMBASE, Directory of Open Access Journals
- Anahtar Kelimeler: hybrid pulmonary valve implantation, mechanical tricuspid valve, right ventricular outflow tract, self-expandable valve, Venus P-Valve
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Background: Chronic severe pulmonary regurgitation following repair of right ventricular outflow dysfunction may result in progressive right ventricular dilatation, heart failure, and arrhythmias. In patients with a complex surgical history, particularly those with mechanical tricuspid valve prostheses, standard transvenous access for pulmonary valve implantation can be technically challenging and carries risks for prosthetic valve injury. Case Summary: We report a successful hybrid perventricular Venus P-Valve implantation via left mini-thoracotomy in a 29-year-old man with 2 prior cardiac surgeries, mechanical mitral and tricuspid valves. The procedure was performed on the beating heart without cardiopulmonary bypass, avoiding the risks of a third open-heart surgery. Discussion: This case highlights the advantages of a hybrid perventricular pulmonary valve implantation strategy in patients with a mechanical tricuspid valve. Take-Home Message: Hybrid perventricular access can expand transcatheter self-expanding pulmonary valve options in selected high-risk redo patients with a mechanical tricuspid valve and enlarged right ventricular outflow tract.