Abstract:The long-term outcome and causes of valve disfunction after tricuspid bioprosthetic valve replacement is unclear because this procedure is rare. We reported a rare case who received reoperation three years after tricuspid bioprosthetic valve replacement because of early valve disfunction due to native valve attachment. Literature review revealed an excellent long-term outcome and demonstrated that pannus formation, native valve attachment and valve thrombosis were the main causes of early valve disfunction after tricuspid bioprosthetic valve replacement.