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Case Reports
. 2023 Apr 19:12:101767.
doi: 10.1016/j.jaccas.2023.101767.

Transcatheter Tricuspid Repair for Tricuspid Regurgitation After Heart Transplantation

Tania Puscas  1 , Charles-Henri Gautier  2   3 , Anne-Céline Martin  2   4 , Louis Pechmajou  1   5 , Leonora Du Puy-Montbrun  3 , Julia Caudron  4 , Romain Guillemain  4 , Marie-Cécile Bories  4 , Paul Achouh  1   3   5 , Nicole Karam  1   5
Affiliations
Case Reports

Transcatheter Tricuspid Repair for Tricuspid Regurgitation After Heart Transplantation

Tania Puscas et al. JACC Case Rep. .

Abstract

A 67-year-old patient with history of heart transplantation was referred for symptomatic severe tricuspid regurgitation. Diagnostic workup showed chordal ruptures on the septal and anterior leaflets, most likely related to endomyocardial biopsies. Given the high surgical risk, the patient was treated percutaneously, with good results persisting at 3 months. (Level of Difficulty: Intermediate.).

Keywords: cardiac transplant; tricuspid valve; valve repair.

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Conflict of interest statement

Dr Martin has received consultant fees and research grant from Alliance BMS-Pfizer and consultant fees from Abbott, Bayer, and Novartis outside the submitted work. Dr Karam has received consultant fees from Abbott Vascular, Edwards Lifesciences, and Medtronic outside the submitted work. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Transthoracic Echocardiography Showing Severe Tricuspid Regurgitation
Figure 2
Figure 2
Transesophageal Echocardiographic Assessment of the Tricuspid Valve Transesophageal echocardiography showing prolapses of the (A) septal and (B) posterior leaflets.
Figure 3
Figure 3
Final Echocardiographic Results Two clips are attached to the anteroseptal and posteroseptal leaflets, resulting in a reduction of tricuspid regurgitation to a grade I/V. (A) End-procedural result on transesophageal echocardiography. (B, C) Transthoracic echocardiography at discharge.
See this image and copyright information in PMC

References

    1. Dreyfus J., Etienne Audureau, Bohbot Y., et al. TRI-SCORE: a new risk score for in-hospital mortality prediction after isolated tricuspid valve surgery. Eur Heart J. 2022;43:654–662. - PMC - PubMed
    1. Lo C.-Y., Chang H.-H., Hsu C.-P., Lai S.-T., Shih C.-C. Endomyocardial biopsy-related tricuspid regurgitation after orthotopic heart transplantation: single-center experience. J Chin Med Assoc JCMA. 2007;70:185–192. - PubMed
    1. Wong R.C.-C., Abrahams Z., Hanna M., et al. Tricuspid regurgitation after cardiac transplantation: an old problem revisited. J Heart Lung Transplant. 2008;27:247–252. - PubMed
    1. Besler C., Orban M., Rommel K.-P., et al. Predictors of procedural and clinical outcomes in patients with symptomatic tricuspid regurgitation undergoing transcatheter edge-to-edge repair. J Am Coll Cardiol Intv. 2018;11:1119–1128. - PubMed
    1. Nickenig G., Kowalski M., Hausleiter J., et al. Transcatheter treatment of severe tricuspid regurgitation with the edge-to-edge MitraClip technique. Circulation. 2017;135:1802–1814. - PubMed

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