ArticleJACC. Case reports2026
Acute Left Heart Failure Following Transcatheter Tricuspid Valve Replacement.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
- The Right-Heart Paradox: Navigating Acute Left Heart Failure After Successful Transcatheter Tricuspid Valve Replacement.JACC. Case reports · 2026Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Transcatheter tricuspid valve replacement has demonstrated efficacy in reducing the severity of tricuspid regurgitation and improving functional capacity. However, postoperative complications require further investigation. We present 2 cases of patients who developed acute left heart failure following transcatheter tricuspid valve replacement. Both patients presented with clinical manifestations including dyspnea, pulmonary crackles, hypoxemia, bilateral pulmonary edema on chest radiography, and elevated N-terminal pro-B-type natriuretic peptide levels. Notably, diuretic therapy combined with inotropic agents and noninvasive ventilatory support was effective in improving symptoms. The underlying mechanism of this complication is related to an abrupt increase in right ventricular output that exceeds the left ventricle's capacity to accommodate. Potential risk factors include left ventricular diastolic dysfunction and small left ventricular dimensions. Importantly, acute left heart failure has also been observed following other right-sided heart procedures with similar mechanisms. To prevent and manage this complication, comprehensive perioperative management is crucial, including identifying high-risk factors preoperatively and actively treating heart failure postoperatively.
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