Caval Valve Implantation (CAVI): procedural planning in a complex case 

In a 83-year-old woman with history of prosthetic mitral and aortic valve replacement and DOE FC 3, echocardiography showed severe TR and PAP= 33 mmHg. Right heart catheterization revealed V wave of SVC and IVC= about 25 mmHg. TricValve procedure was selected to manage severe TR. The severe angulation of IVC was a challenge for precise placement of the valve.