Transcatheter Tricuspid Valve Replacement With a Dedicated Device in a Patient With 2 Endocardial Leads

Area of Science:

• Cardiology
• Interventional Cardiology
• Cardiac Surgery

Background:

• A 79-year-old female patient with a history of dilated cardiomyopathy and a permanent pacemaker underwent upgrade to an implantable cardioverter-defibrillator cardiac resynchronization therapy (CRT-D).
• The patient presented with symptoms indicative of right heart failure, necessitating further investigation.

Observation:

• Echocardiography revealed torrential tricuspid regurgitation, a severe form of valve leakage.
• Two existing leads were noted to be crossing the tricuspid valve, complicating the clinical picture.

Findings:

• A multidisciplinary team evaluated the patient's complex cardiac condition.
• A dedicated transcatheter valve replacement procedure was successfully performed to address the tricuspid regurgitation.

Implications:

• Transcatheter tricuspid valve replacement is a viable option for managing severe tricuspid regurgitation in patients with complex cardiac devices.
• This minimally invasive approach can effectively treat right heart failure secondary to severe tricuspid regurgitation, potentially improving patient outcomes.