Key result
TTVR successfully rescues recurrent torrential tricuspid regurgitation after Cardioband annuloplasty dislocation.
Why the study?
Severe secondary TR contributes to heart failure symptoms and mortality, and transcatheter tricuspid valve interventions have emerged as promising alternatives.
Case Report (n=2)
No
Orthotopic and heterotopic transcatheter tricuspid valve replacements are feasible and effective bailout strategies for managing recurrent torrential tricuspid regurgitation caused by transcatheter annuloplasty device dislocation in elderly, inoperable patients.
Answers are grounded in this paper and cite their sources.
May offer bailout in Cardioband dislocation for inoperable patients; leaves open durability and generalizability pending prospective data.
Severe secondary tricuspid regurgitation (TR) is increasingly recognized as a major contributor to heart failure symptoms and mortality, particularly in elderly patients with complex comorbidities. Transcatheter tricuspid valve interventions have emerged as promising alternatives for these challenging cases. We report the cases of 2 patients with severe dyspnea and leg edema who were diagnosed with torrential TR. Both patients initially underwent transcatheter annuloplasty using the Cardioband system (Edwards Lifesciences), which led to significant improvements in TR severity and clinical symptoms. However, both experienced device dislocation and recurrent torrential TR within months. Subsequent complication management included orthotopic and heterotopic transcatheter tricuspid valve replacement, resulting in marked clinical improvement. This report underscores the potential and challenges of transcatheter therapies for severe functional TR, highlighting the importance of careful patient selection, close monitoring, and adaptive treatment strategies to optimize outcomes.
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Exarchos et al. (2025) conducted a case report in Severe secondary tricuspid regurgitation with annuloplasty device dislocation (n=2). Orthotopic and heterotopic transcatheter tricuspid valve replacement (TTVR) was evaluated. Transcatheter tricuspid valve replacement successfully managed recurrent torrential tricuspid regurgitation and stabilized two patients following Cardioband annuloplasty device dislocation.
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