Tricuspid Transcatheter Edge-to-Edge Repair in Orthotopic Heart Transplantation Recipients

Tricuspid regurgitation in orthotopic heart transplantation recipients is a common complication that has been associated with poor outcomes. Surgical intervention carries a high risk in this population given prior sternotomy, immunosuppression, and comorbidities. We report a case series of 4 orthotopic heart transplantation recipients with severe symptomatic tricuspid regurgitation who were treated successfully with tricuspid transcatheter edge-to-edge repair. All patients demonstrated clinical and echocardiographic improvement postprocedure, with no procedural complications or rehospitalizations at short-term follow-up.