Making the complex simple: bicaval valve implantation as a rescue strategy

This case has been accredited by EBAC with 1 CME credit

An 80-year-old woman was referred for persistent right heart failure despite previous surgical mitral repair and subsequent transcatheter tricuspid intervention. Over time, she developed progressive symptoms with recurrent severe tricuspid regurgitation, refractory to optimised medical therapy.

Multimodality imaging confirmed significant right-sided chamber dilatation and complex valve anatomy, raising the question of how best to proceed in a patient with limited but evolving therapeutic options.