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June 19, 2026European Heart Journal - Case ReportsOpen Access

Rescue transcatheter tricuspid valve replacement with a 56-mm expandable prosthesis following edge-to-edge repair: a case report

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Key result

TTVR with a 56-mm prosthesis improves symptoms and hemodynamics in torrential TR following failed TEER.

  • n=1

Why the study?

Tricuspid regurgitation is a challenging condition, especially in advanced stages, and transcatheter therapies are emerging as viable alternatives for selected patients.

Population

An 85-year-old woman with torrential TR and failed T-TEER complicated by SLDA

Comparison

TTVR with a 56-mm prosthesis

Design

Case report

Authors

RTRui Campante TelesMPMárcia José Oliveira PresumeRRRegina Ribeiras

Discussion

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Overview

May offer rescue option in complex post-TEER TR; hypothesis-generating and needs prospective validation.

Key Points

  • To explore the effectiveness of transcatheter tricuspid valve replacement in patients with severe tricuspid regurgitation post-edge-to-edge repair.
  • Case study of an 85-year-old woman with prolonged right heart failure and torrential tricuspid regurgitation.
  • Transcatheter tricuspid valve replacement performed using a 56-mm expandable prosthesis.
  • Patient's condition monitored for symptomatic and haemodynamic improvement following the intervention.
  • Success in transcatheter tricuspid valve replacement provided significant symptomatic and haemodynamic improvement.
  • Patient previously unsuitable for conventional repair methods due to anatomical challenges showed recovery post-surgery.

Study Design

Type

Case Report (n=1)

Structured PICO

P
Population
An 85-year-old woman with right heart failure and torrential tricuspid regurgitation complicated by single leaflet partial device attachment after edge-to-edge repair.
I
Intervention
Transcatheter tricuspid valve replacement (TTVR) with a 56-mm expandable prosthesis
O
Outcome
Symptomatic and haemodynamic improvement

Transcatheter tricuspid valve replacement with a large 56-mm prosthesis can serve as an effective rescue therapy for patients with anatomically complex TR following failed edge-to-edge repair.

Cite This Study

Teles et al. (2026) conducted a case report in Tricuspid regurgitation (n=1). Transcatheter tricuspid valve replacement (TTVR) with a 56-mm prosthesis was evaluated on Symptomatic and haemodynamic improvement. Transcatheter tricuspid valve replacement with a 56-mm prosthesis successfully achieved symptomatic and haemodynamic improvement in a patient with torrential tricuspid regurgitation following failed edge-to-edge repair.

synapsesocial.com/papers/6a35982fdd3be7785e70ecebhttps://doi.org/10.1093/ehjcr/ytag323
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Transcatheter Tricuspid Valve Replacement: Case Selection, Technical Considerations, and Procedural Planning2023 · 7 citations
  2. 2Transcatheter Tricuspid Valve Intervention: Current Perspective2021 · 6 citations
  3. 3Transcatheter Tricuspid Valve Replacement2024 · 89 citations
  4. 4Transcatheter Management of Tricuspid Regurgitation: A Review of Contemporary Evidence2024 · 8 citations
  5. 5Transcatheter Valve Replacement in Severe Tricuspid Regurgitation2024 · 362 citations