Percutaneous pulmonary and tricuspid valve implantations: An update

Figure 6 MELODY™ device for “Valve-in-Valve” implantation in tricuspid position. MELODY™ valve implantation procedure in a patient with severe stenosis of a prosthetic biological tricuspid valve (arrow): fluroscopy reveals (A) a RV angiogram in systoly prior to implantation (B) guidewire in the right PA and stable device position after inflating of both balloons of the BiB-delivery system and (C) RV angiogram showing stent position within the biological prosthesis and relative to the ventricle. There is no tricuspid regurgitation. (Courtesy of Wagner R). RV: Right ventricular; PA: Pulmonary artery.