ArticleJACC. Case reports2026
Successful Surgical Tricuspid Valve Repair of Severe Recurrent Tricuspid Regurgitation After Transcatheter Edge-to-Edge Repair.
Article in JACC. Case reports, 2026. 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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7 authors.
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Abstract
backgroundTranscatheter edge-to-edge repair has emerged as a minimally invasive option for patients at high surgical risk. Residual/recurrent tricuspid regurgitation (TR) is associated with high morbidity and mortality. CASE SUMMARY: A 79-year-old woman developed recurrent severe TR after initially successful TriClip implantation. Symptoms progressed despite optimal medical therapy. As redo tricuspid transcatheter edge-to-edge repair (T-TEER) was not feasible, the patient underwent surgical intervention. Following careful clip removal, surgical tricuspid valve (TV) repair was successfully performed. At 7-month follow-up, echocardiography confirmed a stable repair with mild TR, and the patient reported substantial symptomatic improvement. DISCUSSION: This case shows that surgical TV repair can be a safe and effective treatment option for recurrent TR after T-TEER. With the increasing use of transcatheter therapies, awareness of surgical bailout options will become increasingly important. TAKE-HOME MESSAGE: Surgical TV repair may represent a safe and effective strategy in selected patients with recurrent TR after T-TEER.
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