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A 49\u2010year\u2010old woman with multiple prior cardiac surgeries presented with heart failure due to bioprosthetic tricuspid valve stenosis. Initial predilation valvuloplasty suggested conventional ViV implant would produce patient\u2010prosthesis mismatch, therefore, we intentionally fractured the bioprosthetic valve ring to facilitate optimal hemodynamics with implantation of a 29\u2009mm transcatheter valve.<\/jats:p>","DOI":"10.1002\/ccd.28837","type":"journal-article","created":{"date-parts":[[2020,3,6]],"date-time":"2020-03-06T13:12:00Z","timestamp":1583500320000},"page":"361-364","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Intentional bioprosthetic tricuspid valve fracture to facilitate transcatheter valve\u2010in\u2010valve deployment"],"prefix":"10.1002","volume":"97","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9448-1049","authenticated-orcid":false,"given":"Brian","family":"Karahalios","sequence":"first","affiliation":[{"name":"Houston Methodist Hospital  Houston Texas 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