Related Experiment Video
Updated: May 31, 2026

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
Management of Acute Right Ventricular Failure After High-Risk Transcatheter Tricuspid Valve Replacement
Andrew C Cooper1, Sarah G Stafford1, Charlene L Rohm1
1Vanderbilt University Medical Center Heart and Vascular Institute, Nashville, Tennessee, USA.
Background:
Transcatheter tricuspid valve replacement using the EVOQUE system is approved for patients with symptomatic severe tricuspid regurgitation refractory to optimal medical therapy. However, data on the incidence and management of postprocedural right ventricular (RV) failure remain limited.
Case Summary:
We describe a case of acute RV failure after transcatheter tricuspid valve replacement in a patient with preexisting pulmonary hypertension and prior tricuspid transcatheter edge-to-edge repair. The patient developed hemodynamic compromise requiring vasoactive and pulmonary vasodilator therapy but ultimately had a favorable recovery.
Discussion:
Pressure overload from tricuspid regurgitation elimination triggered RV dysfunction, emphasizing the importance of extended monitoring and tailored hemodynamic support. The ratio of the tricuspid annular plane systolic excursion and the pulmonary artery systolic pressure can be a useful noninvasive tool for risk stratification and to help diagnose RV failure.
Take-Home Message:
This case highlights the importance of vigilant postprocedural monitoring in high-risk patients and emphasizes the need for tailored hemodynamic management strategies.
Related Concept Videos
Aortic Regurgitation III: Medical Management
Mitral Regurgitation III: Medical Management
Mitral Stenosis III: Medical Management
Mitral Valve Prolapse II: Assessment and Management
Cardiomyopathy V: Interprofessional Care
Acute Coronary Syndrome IV: Interprofessional Care

