February 27, 2023

The U.S. Food items and Drug Administration (Food and drug administration) is informing overall health care providers about the possible threat of early structural valve deterioration (SVD) with Abbott Trifecta valves, such as the Trifecta Valve and the Trifecta Valve with Glide Technological know-how (Trifecta GT), which attribute leaflets externally mounted to the valve frame.

Info from published literature indicates a bigger cumulative incidence of early (5 decades or fewer) SVD for Trifecta valves compared to other commercially obtainable surgical bioprosthetic valves. The Food and drug administration is functioning with the company to appraise data from all out there resources on this problem.

The Fda is encouraging you to report adverse events linked to Trifecta valves to the Fda. Prompt reporting of adverse events can assist the Food and drug administration determine and greater recognize the hazards linked with medical equipment.


The Food and drug administration endorses that health care companies: 

  • Be aware of the likely hazard of early SVD with Trifecta valves, and current patient administration things to consider, as communicated by Abbott.
  • Go over the dangers and advantages of all readily available aortic valve cure solutions with your patients and their caregivers as part of shared scientific selection-earning prior to surgical procedures.
  • Browse and carefully comply with the Guidelines for Use (IFU) when implanting a Trifecta GT valve.
  • Watch patients who have been through implantation with Trifecta valves for signs and symptoms of prospective SVD.
    • Instruct people to seek out health-related awareness with new onset of indicators such as shortness of breath or fatigue.
    • Ensure lifelong abide by-up visits, performed at least annually, such as transthoracic echocardiogram (TTE) assessment of the valve commencing just one-year submit-implant.
  • Report any adverse functions with Trifecta valves to the Fda.  Refer to the Reporting Complications to the Food and drug administration section down below.


The Trifecta and Trifecta GT valves are coronary heart valve substitute units intended to deal with diseased, damaged, or malfunctioning native or prosthetic aortic heart valves. The initial-era Trifecta valve was 1st approved in 2011 and is no lengthier promoted in the U.S. The Trifecta GT valve was authorized in 2016.

The Fda routinely evaluates adverse party stories and published literature to check the basic safety and usefulness of medical products. The revealed literature consists of a comparison of toughness for Trifecta valves to other commercially obtainable bovine pericardial valves throughout unique timepoints submit-implant. Results from these reports propose a higher cumulative incidence of early SVD and reduced freedom from reintervention thanks to SVD connected with Trifecta valves. The posted literature features final results combined for the Trifecta and Trifecta GT valves, and the client administration concerns delivered by Abbott apply to the two Trifecta valve versions.  

The Food and drug administration has also acquired health-related device experiences (MDRs) that explain early SVD with Trifecta valves, with reports displaying a peak time to SVD of three to 4 a long time article-implant. Reported outcomes contain surgical valve explant/substitute, transcatheter valve-in-valve intervention, and in some cases dying. The Fda acknowledges the limitations of MDR facts, such as that incidence are not able to be established from the passive surveillance reporting method. Studies submitted to the Fda are just one supply of facts that the Food and drug administration makes use of to watch the protection of health-related products.

Fda Actions

The Food and drug administration is performing with the company to more evaluate the concern and establish additional affected person administration strategies, if essential.

The Fda will keep on to check the literature and studies of adverse situations linked to the concern.

The Fda will inform the public if any important, new info or tips turn out to be obtainable.

Reporting Issues to the Fda

The Food and drug administration encourages health care vendors to report any adverse situations or suspected adverse activities professional with Abbott Trifecta valves.

Prompt reporting of adverse functions can help the Fda establish and superior recognize the pitfalls connected with clinical gadgets.

More Methods

Call Information and facts

If you have inquiries about this letter, contact the Division of Sector and Purchaser Instruction (DICE).