Key result
Surgical tricuspid valve repair successfully salvages failed edge-to-edge repair, maintaining mild TR at 7 months.
Why the study?
Residual or recurrent tricuspid regurgitation after transcatheter edge-to-edge repair is associated with high morbidity and mortality, and treatment options for recurrent TR are limited.
Case Report (n=1)
No
Surgical tricuspid valve repair is presented as a safe and effective bailout strategy for patients presenting with severe recurrent tricuspid regurgitation after a failed transcatheter edge-to-edge repair.
May support surgical bailout for recurrent TR after failed TriClip; leaves open optimal sequencing and patient selection for hybrid strategies.
BACKGROUND: Transcatheter edge-to-edge repair has emerged as a minimally invasive option for patients at high surgical risk. Residual/recurrent tricuspid regurgitation (TR) is associated with high morbidity and mortality. CASE SUMMARY: A 79-year-old woman developed recurrent severe TR after initially successful TriClip implantation. Symptoms progressed despite optimal medical therapy. As redo tricuspid transcatheter edge-to-edge repair (T-TEER) was not feasible, the patient underwent surgical intervention. Following careful clip removal, surgical tricuspid valve (TV) repair was successfully performed. At 7-month follow-up, echocardiography confirmed a stable repair with mild TR, and the patient reported substantial symptomatic improvement. DISCUSSION: This case shows that surgical TV repair can be a safe and effective treatment option for recurrent TR after T-TEER. With the increasing use of transcatheter therapies, awareness of surgical bailout options will become increasingly important. TAKE-HOME MESSAGE: Surgical TV repair may represent a safe and effective strategy in selected patients with recurrent TR after T-TEER.
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Winkler et al. (2026) conducted a case report in Recurrent severe tricuspid regurgitation after transcatheter edge-to-edge repair (n=1). Surgical tricuspid valve repair following clip removal was evaluated on Echocardiographic stable repair and symptomatic improvement. Surgical tricuspid valve repair after failed transcatheter edge-to-edge repair resulted in a stable repair with mild TR and substantial symptomatic improvement at 7 months in a 79-year-old woman.
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