Tricuspid valve replacement after dislocation of a transcatheter tricuspid heart valve.

A 77-year-old female patient was referred to our department with dyspnoea, peripheral oedema and a history of right heart failure. Echocardiography revealed torrential tricuspid regurgitation. Since tricuspid-transcatheter edge-to-edge repair was not feasible and the patient refused open heart surgery, heart team decision was made to perform transcatheter tricuspid valve implantation in a borderline annulus dimension. During the procedure, migration of the valve in the right ventricle occurred. After patients' consent was obtained surgical explantation of the valve with subsequent surgical tricuspid valve replacement was performed. Postoperative course was complicated by pneumonia, pleural effusion and right heart and respiratory failure. The patient was discharged home on postoperative day 19 in good clinical condition.