Case report: Transcatheter edge-to-edge repair after prior surgical tricuspid annuloplasty

Shazia Afzal; Jafer Haschemi; Florian Bönner; Malte Kelm; Patrick Horn

doi:10.3389/fcvm.2022.1044410

Case report: Transcatheter edge-to-edge repair after prior surgical tricuspid annuloplasty

Front Cardiovasc Med. 2022 Oct 28:9:1044410. doi: 10.3389/fcvm.2022.1044410. eCollection 2022.

Authors

Shazia Afzal¹, Jafer Haschemi¹, Florian Bönner¹, Malte Kelm¹, Patrick Horn¹

Affiliation

¹ Division of Cardiology, Pulmonology and Vascular Medicine, Medical Faculty, University Düsseldorf, Dūsseldorf, Germany.

Abstract

Residual and recurrent tricuspid regurgitation may occur frequently after surgical tricuspid valve repair. However, reoperation for tricuspid regurgitation is rare, although many patients are again highly symptomatic. Tricuspid transcatheter edge-to-edge repair (TEER) is a promising therapy for severe tricuspid regurgitation. Herein, we report a 77-year-old woman with recurrent symptomatic massive tricuspid regurgitation 2 years after sutured annuloplasty of the tricuspid valve. TEER was successfully performed using the TriClip^® device and tricuspid regurgitation was reduced to a mild degree. In conclusion, tricuspid TEER is feasible following surgical suture annuloplasty. TEER is an alternative option for patients with a failed previous annuloplasty repair for tricuspid regurgitation to undergo a less invasive treatment rather than a potentially higher-risk reoperation.

Keywords: TriClip; annuloplasty; percutaneous; surgery; tricuspid regurgitation.

Publication types

Case Reports