Bloody tricuspid stenosis: case report of an uncommon cause of haemoptysis.
Filippo TrombaraMarco BergontiOlga ToscanoAlessia Dalla CiaEmilio M AssanelliGianluca PolvaniAntonio L BartorelliPublished in: European heart journal. Case reports (2021)
The increase in venous pressures due to bioprosthetic tricuspid stenosis caused veno-venous shunts: blood from the lower body was drained into the superior vena cava via the azygos vein. Increased pressure in the latter affected pressure in bronchial veins and arteries, leading to haemoptysis. Cardiac surgical reinterventions are associated with worse outcomes and higher mortality rates. Management of a degenerated prosthetic tricuspid valve is challenging and requires a multidisciplinary assessment. Transcatheter tricuspid valve replacement is becoming a feasible option in patients with prosthetic dysfunction. Based on evidence to date, tricuspid valve-in-valve replacement appears to be a safe, feasible, and effective alternative in selected young patients.
Keyphrases
- aortic valve
- mitral valve
- aortic stenosis
- ejection fraction
- transcatheter aortic valve replacement
- aortic valve replacement
- transcatheter aortic valve implantation
- left ventricular
- vena cava
- inferior vena cava
- case report
- end stage renal disease
- chronic kidney disease
- newly diagnosed
- oxidative stress
- type diabetes
- extracorporeal membrane oxygenation
- cardiovascular events
- metabolic syndrome
- prognostic factors
- heart failure
- insulin resistance
- patient reported
- blood flow
- adipose tissue
- patient reported outcomes
- atrial fibrillation