Transcatheter Tricuspid Valve Replacement Beyond Boundaries

Transcatheter tricuspid valve replacement (TTVR) is now an available option to treat patients with severe symptomatic tricuspid regurgitation. Because of the early experience in this field, many challenges remain to be addressed. In this case series, we present 3 different situations that underline the difficulties in the clinical management of these patients. From a decision-making process standpoint, we discuss the relevance of TTVR in a patient presenting with an advanced cardiohepatic syndrome, as well as the case of a relatively young patient referred for tricuspid valve intervention following prior left-sided valves surgery. More from a technical and interventional strategy perspective, we describe a successful TTVR implantation after a failed transcatheter repair. TTVR has demonstrated convincing safety and efficacy results in large population samples. However, patient selection in clinical practice is still challenging, and this case series helps to refine our understanding of the role of TTVR in very specific clinical settings.