Key result
TTVR succeeds in a patient with torrential TR despite 2 endocardial leads crossing the valve.
Case Report (n=1)
Demonstrates the feasibility of transcatheter tricuspid valve replacement in a patient with torrential tricuspid regurgitation and two endocardial leads across the valve.
Hypothesis-generating for transcatheter tricuspid valve replacement with endocardial leads; larger studies needed before clinical adoption.
A 79-year-old woman with a history of dilated cardiomyopathy who required a permanent peacemaker, recently upgraded to implantable cardioverter-defibrillator cardiac resynchronization therapy, was admitted for right heart failure. On echocardiography, torrential tricuspid regurgitation was noted, with 2 leads across the valve. After multidisciplinary evaluation, a dedicated transcatheter valve replacement was successfully implanted. (Level of Difficulty: Intermediate.)
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Estévez‐Loureiro et al. (2023) conducted a case report in Torrential tricuspid regurgitation and right heart failure (n=1). Transcatheter tricuspid valve replacement was evaluated. Transcatheter tricuspid valve replacement was successfully performed in a 79-year-old woman with torrential tricuspid regurgitation and 2 endocardial leads across the valve.
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