Key result
Combined transcatheter mitral and tricuspid edge-to-edge repair demonstrates early promising results for patients with multiple valvular disease and prohibitive surgical risk.
Why the study?
Combined mitral and tricuspid regurgitation is common and challenging to manage, while surgical combined valve surgery has demonstrated inconsistent long-term benefits.
Combined transcatheter mitral and tricuspid edge-to-edge repair is a promising novel treatment option for patients with multiple valvular disease and prohibitive surgical risk.
Transcatheter edge-to-edge repair may benefit high-risk patients with combined MR/TR; leaves open need for RCTs on durability and outcomes.
PURPOSE OF REVIEW: The combination of mitral regurgitation and tricuspid regurgitation is common in patients with multiple valvular disease and patient management can be challenging. Surgical combined mitral and tricuspid valve surgery is a treatment option for patients meeting criteria but has demonstrated inconsistent long-term benefits. RECENT FINDINGS: Transcatheter mitral and tricuspid edge-to-edge repair has demonstrated early promising results in patients with a prohibitive surgical risk, making it an interesting treatment option. The present review will discuss the physiopathology of this complex disease and contemporary data regarding treatment options for the treatment of combined mitral and tricuspid regurgitation. SUMMARY: Combined transcatheter mitral and tricuspid edge-to-edge repair is a novel treatment option for patients with multiple valvular disease. Further studies are needed to determine optimal patient selection and timing of intervention and demonstrate survival benefit and improvement in clinical outcomes. Advances in technology, with dedicated devices and enhanced imaging techniques may also improve patient outcomes.
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Ong et al. (2020) conducted a review in Combined mitral and tricuspid regurgitation. Combined transcatheter mitral and tricuspid edge-to-edge repair was evaluated. Combined transcatheter mitral and tricuspid edge-to-edge repair demonstrates early promising results for patients with multiple valvular disease and prohibitive surgical risk.
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