Simultaneous deployment of a covered stent and a Sapien S3 as a bridge to surgical valve replacement in acute infective endocarditis.

A 25-year-old male presented to our institution with acute right ventricular (RV) failure secondary to an infected pulmonary prosthetic valve (Melody® Valve, Medtronic Inc., Minneapolis, MN, USA), 3 months after percutaneous placement. Due to his decompensated state, his surgical risk was determined to be very high during his acute illness. As a bridge to surgical valve replacement, we elected to percutaneously implant a Sapien S3 valve (Edwards Lifesciences, Irvine, CA, USA), mounted within a covered stent and deployed simultaneously to exclude the mass of infected tissue within the RV outflow tract, and improve his hemodynamics. Our patient tolerated the procedure well; recovered fully and returned 2 months later for planned surgical valve replacement. <Learning objective: To describe a novel technique for simultaneous deployment of a covered stent and a transcatheter pulmonary valve in a patient with right ventricular failure secondary to an infected prosthetic valve as a bridge to surgical valve replacement.>.