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Background <p>Moderate-to-severe tricuspid regurgitation (TR) represents the most prevalent right heart disorder. If left untreated, it may progress to heart failure and elevate mortality risk. Although traditional open-heart surgery remains the gold standard for severe TR, a significant number of patients are considered ineligible due to advanced age, comorbidities, or a history of cardiac surgery. Transcatheter tricuspid valve intervention (TTVI) has emerged as a minimally invasive alternative, with initial studies indicating both safety and efficacy in high-risk populations.</p> Case summary <p>We report the case of an 82-year-old patient with a quadricuspid tricuspid valve and torrential TR (grade 5) who was deemed unsuitable for conventional cardiopulmonary bypass surgery. Via a minimally invasive transcatheter approach, two edge-to-edge clips were successfully implanted, achieving effective valve repair. The patient exhibited an favorable postoperative recovery.</p> Conclusions <p>The incidence of TR among elderly patients is increasing. For those who do not respond to conservative management and face high surgical risk, transcatheter intervention offers a promising therapeutic alternative to enhance clinical outcomes.</p>

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Transcatheter repair of a quadricuspid tricuspid valve with severe regurgitation: a case report

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月19日

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  • Jingyuan Huo,
  • Qiyao Yu,
  • Kaishuai Wu,
  • Chen Wang,
  • Haoyang Li,
  • Zhen Wang,
  • Weidong Li,
  • Hongfei Xu

摘要

Background

Moderate-to-severe tricuspid regurgitation (TR) represents the most prevalent right heart disorder. If left untreated, it may progress to heart failure and elevate mortality risk. Although traditional open-heart surgery remains the gold standard for severe TR, a significant number of patients are considered ineligible due to advanced age, comorbidities, or a history of cardiac surgery. Transcatheter tricuspid valve intervention (TTVI) has emerged as a minimally invasive alternative, with initial studies indicating both safety and efficacy in high-risk populations.

Case summary

We report the case of an 82-year-old patient with a quadricuspid tricuspid valve and torrential TR (grade 5) who was deemed unsuitable for conventional cardiopulmonary bypass surgery. Via a minimally invasive transcatheter approach, two edge-to-edge clips were successfully implanted, achieving effective valve repair. The patient exhibited an favorable postoperative recovery.

Conclusions

The incidence of TR among elderly patients is increasing. For those who do not respond to conservative management and face high surgical risk, transcatheter intervention offers a promising therapeutic alternative to enhance clinical outcomes.