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.
Case Report (n=1)
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.
Abstract Background Tricuspid regurgitation (TR) is a challenging condition, particularly in advanced stages. Transcatheter therapies are emerging as viable alternatives for selected patients. Case summary We present an 85-year-old woman with longstanding right heart failure symptoms and torrential TR who underwent edge-to-edge repair (T-TEER), complicated by single leaflet partial device attachment (SLDA). Her condition deteriorated, with readmission for decompensated heart failure. Given persistent torrential TR, clinical deterioration, and unsuitable anatomy for further leaflet-based repair due to septal leaflet plastering, she underwent successful transcatheter tricuspid valve replacement (TTVR) with a newly available 56-mm prosthesis. The patient experienced symptomatic and haemodynamic improvement. Discussion This case highlights the limitations of leaflet-based repair in anatomically complex TR and supports TTVR as an effective alternative even in SLDA cases. The availability of newer, larger valve sizes expands its feasibility, reinforcing its role in patients previously considered unsuitable for intervention.
Teles et al. (Mon,) 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.