Transcatheter closure of a large bioprosthetic tricuspid paravalvular leak.

Paravalvular leaks (PVLs) typically occur after valve replacement surgery and are often asymptomatic. However, larger defects can result in significant hemodynamic instability and heart failure, necessitating surgical intervention. Tricuspid PVLs are particularly rare and present unique clinical challenges. In this report, we describe the case of a 31-year-old woman who successfully underwent closure of a tricuspid PVL using the Amplatzer VSD Occluder device. This case underscores the importance of meticulous patient selection and pre-procedural planning to achieve optimal outcomes in tricuspid PVL cases. It also contributes to the growing literature on tricuspid PVL closures, highlighting the need for ongoing innovation and long-term studies to improve patient outcomes. Learning objective: After reading this case report, readers will understand the clinical presentation and unique challenges of managing tricuspid paravalvular leaks (PVLs) in high-risk surgical patients. The case emphasizes the importance of advanced imaging and pre-procedural planning for successful percutaneous interventions in complex tricuspid PVL cases. Additionally, readers will appreciate the growing potential of innovative transcatheter techniques as viable alternatives to traditional surgical approaches.