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. 2015 Sep 4;2(1):2–5. doi: 10.1016/j.hrcr.2015.05.004

Figure 2.

Figure 2

Valve-in-valve tricuspid valve replacement. A, B: Right anterior oblique (RAO) views during valve-in-valve implantation. A 29-mm SAPIEN XT valve implanted inside a Carpentier-Edwards, porcine, 31-mm valve. C, D: Post–valve deployment cinefluoroscopy demonstrates that the RV pacing lead is now sandwiched (white arrows) between the 2 bioprosthetic valves (black arrows: old Carpentier-Edwards valve; dashed arrows: new Edwards SAPIEN XT valve); C: Left anterior oblique view (LAO). D: Right anterior oblique view (RAO). E: Postimplantation hemodynamic recordings show disappearance of the prominent right atrial v-wave and only a minimal residual diastolic transvalvular gradient of 2–3 mmHg.