Rapid Clinical and Renal Recovery after Transcatheter Tricuspid Valve Replacement

Severe tricuspid regurgitation (TR) is associated with heart failure symptoms and end-organ dysfunction. Many patients are considered too high risk for surgical intervention, prompting the development and increased use of transcatheter valve replacement/repair systems.

We report the case of an 85-year-old White male with symptomatic heart failure and signs of worsening end-organ dysfunction due to torrential TR who underwent transcatheter tricuspid valve replacement (TTVR) using the Edwards Evoque system. After TTVR, the patient experienced immediate and significant improvement of heart failure symptoms. Furthermore, congestion diminished substantially. Additionally, he demonstrated significant improvement of kidney function. Signs of liver congestions also improved rapidly.

This case demonstrates that treatment of severe TR using a TTVR system, even in an older, high-risk patient, can significantly improve not only clinical symptoms but also end-organ dysfunction.

TTVR should be considered in patients with severe TR and end-organ dysfunction.