Transcatheter systemic atrioventricular valve-in-valve implantation in a congenitally corrected transposition of the great arteries patient

We present an asymptomatic pregnant patient with congenitally corrected transposition of the great arteries and severe atrioventricular bioprosthesis regurgitation - with increased maternal and fetal risk due to volume overload. She was considered high risk for reintervention and was submitted to an off-label post-partum transcatheter valve-in-valve implantation with a Sapiens 3 valve. The procedure was successful, and she remains asymptomatic 30 months after - and even went through another successful pregnancy.

Automated summary

We report a case of a pregnant patient with congenitally corrected transposition of the great arteries and severe atrioventricular bioprosthesis regurgitation, who was at high maternal and fetal risk due to volume overload. She underwent an off-label post-partum transcatheter valve-in-valve implantation with a Sapiens 3 valve, resulting in a successful procedure. She remains asymptomatic 30 months after and had another successful pregnancy.