Management of Volume Overload in Severe Atrial-Functional Tricuspid Regurgitation: Improved Feasibility of Transcatheter Edge-to-Edge Repair

Andrea Scotti; Jonathan Curio; Pier Pasquale Leone; Sebastian Ludwig; Augustin Coisne; Matteo Sturla; Sandhya Murthy; Mei Chau; Juan F Granada; Ulrich P Jorde; Edwin C Ho; Azeem Latib

doi:10.1016/j.jaccas.2023.101776

Management of Volume Overload in Severe Atrial-Functional Tricuspid Regurgitation: Improved Feasibility of Transcatheter Edge-to-Edge Repair

JACC Case Rep. 2023 Apr 19:12:101776. doi: 10.1016/j.jaccas.2023.101776.

Authors

Andrea Scotti^{1

2}, Jonathan Curio¹, Pier Pasquale Leone¹, Sebastian Ludwig^{1

2}, Augustin Coisne^{1

2}, Matteo Sturla¹, Sandhya Murthy¹, Mei Chau¹, Juan F Granada^{1

2}, Ulrich P Jorde¹, Edwin C Ho¹, Azeem Latib¹

Affiliations

¹ Montefiore-Einstein Center for Heart and Vascular Care, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York, USA.
² Cardiovascular Research Foundation, New York, New York, USA.

Abstract

Patients with tricuspid regurgitation are often referred late in their disease course and present with volume overload, which is a detrimental factor leading to right-sided chamber dilatation and dysfunction. Treatment of volume overload can 1) improve patient functional status; 2) avoid repeated invasive examinations; and 3) establish eligibility for transcatheter tricuspid intervention. (Level of Difficulty: Intermediate.).

Keywords: chronic heart failure; diuretic; tricuspid valve.

Publication types

Case Reports