Primary tricuspid regurgitation: how can we avoid high-risk surgery?

A 70-year-old male patient presents with severe dyspnea (NYHA III) and marked leg edema, alongside a complex medical history including hypertrophic cardiomyopathy, pulmonary hypertension, and liver fibrosis.

With invasive hemodynamic measurements indicating elevated pressures and reduced cardiac output, how would you approach the treatment of this patient, dealing with severe tricuspid regurgitation, moderate mitral regurgitation, and multiple comorbidities?

EBAC

Authors

Philipp Bartko

Interventional cardiologist / Cardiologist

Allgemeines Krankenhaus der Stadt Wien - Medizinischer Universitätscampus - Wien, Austria

Varius Dannenberg

Imaging / Echography physician

Medical University of Vienna - Vienna, Austria