Eser DURMAZ, Ayten ÖZAL, Damla RAIMOGLOU, Murat ÇİMCİ, Teoman KILIÇ, Bilgehan KARADAĞ
Archives of the Turkish Society of Cardiology - 2026;54(2):197-198
A 26-year-old male patient with Ebstein anomaly was hospitalized due to New York Heart Association (NYHA) III dyspnea and syncope. He underwent tricuspid valve repair in 2006, and subsequently a bioprosthetic valve implantation was performed in 2011 due to recurrence of symptoms. Transthoracic echocardiography revealed a mean gradient of 13 mmHg and a maximum gradient of 17 mmHg across the bioprosthetic tricuspid valve, and 24-hour Holter monitoring detected transient 2:1 atrioventricular block. After Heart Team discussion, transcatheter tricuspid valve-in-valve replacement with a balloon-expandable aortic valve and surgical pacemaker implantation was decided.
