Transcatheter tricuspid valve replacement in carcinoid heart disease: A multimodality‑guided, patient-centered approach

This case has been accredited by EBAC with 1 CME credit

A 74-year-old woman with carcinoid syndrome develops progressive NYHA III dyspnoea and marked fatigue, despite well-controlled systemic symptoms. Echocardiography reveals torrential tricuspid regurgitation with carcinoid valve involvement, while surgical risk is deemed high due to age, frailty, and systemic disease. How would your Heart Team approach this complex case?

EBAC