ArticleJournal of cardiothoracic surgery2025
Transcatheter repair of a quadricuspid tricuspid valve with severe regurgitation: a case report.
Article in Journal of cardiothoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundModerate-to-severe tricuspid regurgitation (TR) represents the most prevalent right heart disorder. If left untreated, it may progress to heart failure and elevate mortality risk. Although traditional open-heart surgery remains the gold standard for severe TR, a significant number of patients are considered ineligible due to advanced age, comorbidities, or a history of cardiac surgery. Transcatheter tricuspid valve intervention (TTVI) has emerged as a minimally invasive alternative, with initial studies indicating both safety and efficacy in high-risk populations. We report the case of an 82-year-old patient with a quadricuspid tricuspid valve and torrential TR (grade 5) who was deemed unsuitable for conventional cardiopulmonary bypass surgery. Via a minimally invasive transcatheter approach, two edge-to-edge clips were successfully implanted, achieving effective valve repair. The patient exhibited an favorable postoperative recovery.
conclusionsThe incidence of TR among elderly patients is increasing. For those who do not respond to conservative management and face high surgical risk, transcatheter intervention offers a promising therapeutic alternative to enhance clinical outcomes.
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