Combined transcatheter mitral and tricuspid edge-to-edge repair: expanding the horizons of interventional heart failure

• Published in: Current opinion in cardiology Vol. 36; no. 2; p. 148
• Main Authors: Ong, Geraldine, Fam, Neil P
• Format: Journal Article
• Language: English
• Published: United States 01.03.2021
• Subjects: Cardiac Catheterization; Heart Failure - therapy; Heart Valve Prosthesis Implantation; Humans; Treatment Outcome; Tricuspid Valve - diagnostic imaging; Tricuspid Valve - surgery
• ISSN: 1531-7080
• DOI: 10.1097/HCO.0000000000000830

The combination of mitral regurgitation and tricuspid regurgitation is common in patients with multiple valvular disease and patient management can be challenging. Surgical combined mitral and tricuspid valve surgery is a treatment option for patients meeting criteria but has demonstrated inconsistent long-term benefits. Transcatheter mitral and tricuspid edge-to-edge repair has demonstrated early promising results in patients with a prohibitive surgical risk, making it an interesting treatment option. The present review will discuss the physiopathology of this complex disease and contemporary data regarding treatment options for the treatment of combined mitral and tricuspid regurgitation. Combined transcatheter mitral and tricuspid edge-to-edge repair is a novel treatment option for patients with multiple valvular disease. Further studies are needed to determine optimal patient selection and timing of intervention and demonstrate survival benefit and improvement in clinical outcomes. Advances in technology, with dedicated devices and enhanced imaging techniques may also improve patient outcomes.