Tricuspid TEER — Advanced Procedural Strategies-Clinical Case Example: Severe Tricuspid Regurgitation, Dr. Tai H. Pham

Clinical Case Example: Severe Tricuspid Regurgitation, Dr. Tai H. Pham

Video Transcription

Video Summary

Dr. Ty Pham presents a 73-year-old woman with severe tricuspid regurgitation (TR), history of non-ischemic cardiomyopathy with recovered EF, pulmonary hypertension, atrial fibrillation, hypertension, and chronic kidney disease. Despite optimized medications and increased diuretics, she experiences worsening heart failure symptoms and CKD. Echocardiogram shows severe TR with large coaptation gaps and a dilated right atrium. Right heart catheterization reveals elevated right atrial pressure and mild pulmonary hypertension, indicating primarily right-sided issues. The team debates next steps: further imaging, transcatheter interventions like TRICLIP or valve replacement, prehab with reassessment, or continued medical therapy.

Keywords

severe tricuspid regurgitation

non-ischemic cardiomyopathy

pulmonary hypertension

atrial fibrillation

transcatheter interventions