A 58‑year‑old Kenyan woman with advanced right‑sided heart failure underwent a transcatheter valve‑in‑valve procedure at Indraprastha Apollo Hospital.
The Sapien Ultra Resilia 29 mm valve replaced a degenerated 29 mm Perimount bioprosthetic tricuspid valve, reducing gradient to 2 mmHg.
Post‑procedure, the patient required intensive care for right ventricular dysfunction but recovered, discharged in six days and improved at one‑week follow‑up.
Dr Gautam Naik said the case demonstrates the evolving role of transcatheter therapies for inoperable complex valvular disease.