Transcatheter Tricuspid Valve Replacement Beyond Boundaries

Area of Science:

• Cardiology
• Interventional Cardiology
• Cardiac Surgery

Background:

• Severe symptomatic tricuspid regurgitation necessitates advanced treatment options.
• Transcatheter tricuspid valve replacement (TTVR) is emerging as a viable therapeutic approach.
• Early TTVR adoption faces challenges in patient selection and procedural strategy.

Observation:

• This case series details three distinct clinical scenarios encountered during TTVR.
• Scenarios include managing TTVR in advanced cardiohepatic syndrome and post-left valve surgery patients.
• A successful TTVR following a failed transcatheter repair is also presented.

Findings:

• TTVR demonstrates established safety and efficacy in broad patient populations.
• Patient selection for TTVR remains a critical and complex aspect of clinical practice.
• Specific clinical contexts present unique challenges for TTVR decision-making and execution.

Implications:

• This series refines understanding of TTVR's role in complex and specific patient profiles.
• Insights aid clinicians in navigating challenging TTVR cases.
• Further research into optimal TTVR patient selection is warranted.