A Pascal in ring: Transcatheter edge-to-edge tricuspid repair for severe regurgitation within a surgical annuloplasty ring.
S Chahid, J Boyer, T Roussel et al.
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Case in brief
A 69-year-old woman with a history of rheumatic heart disease and multiple cardiac surgeries presented with heart failure due to severe tricuspid regurgitation from leaflet restriction within a surgical annuloplasty ring. Due to high surgical risk and anatomical limitations for transcatheter valve replacement, the Heart Team opted for transcatheter edge-to-edge repair using the PASCAL system, resulting in no residual leak and no complications.
Diagnostic / clinical pearl
Transcatheter edge-to-edge repair with the PASCAL device can be a viable option for severe tricuspid regurgitation in patients with prior annuloplasty rings when redo surgery is high-risk.