Right heart failure secondary to traumatic tricuspid flail with severe tricuspid regurgitation

Tricuspid flail leaflets are more often due to a post-traumatic lesion, although it can be secondary to infectious endocarditis or a myxomatous degenerated valve.We present the case of a 46-year-old woman with right heart failure secondary to severe tricuspid regurgitation due to flail of the anterior tricuspid leaflet, probably after surgical repair of the ventricular septal defect.The tricuspid valve morphology and the severity of tricuspid regurgitation were well characterized by echocardiography.Despite the fact that the treatment of choice is surgery, the patient remains in functional class II with optimal medical treatment.