PMC9650543_01
Tricuspid transcatheter edge-to-edge repair following surgical tricuspid annuloplasty. (A) Severe functional tricuspid regurgitation following sutured annuloplasty [transgastric view on the tricuspid valve (upper panel) and biplane transesophageal echocardiographic images of the right ventricular outflow tract (lower panel)]. (B) Real-time fusion imaging-assisted navigation of the transcatheter tricuspid valve repair device through the right atrium pointing to the tricuspid annulus (upper panel). Biplane transesophageal echocardiographic images of the right ventricular outflow tract showing grasping of the septal and anterior leaflets of the tricuspid valve with the TriClip device (lower panel). (C) Mild tricuspid regurgitation after deployment of two TriClips [real-time fusion of echocardiography-derived right heart cavities on fluoroscopy visualizes the TriClips (upper panel), and biplane esophageal echocardiographic image demonstrates reduction of tricuspid regurgitation to mild degree (lower panel)]. RA, right atrium; RV, right ventricle; Ao, aortae.
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F1
Tricuspid regurgitation was reduced to a mild degree in postprocedural TEE (Figure 1), and in transthoracic echocardiography that was performed at the time of discharge (Supplementary Video S3).