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The butterfly effect: Restoring the tricuspid coaptation after clipping the antero-septal commissure
Authors:Valeria Cammalleri MD  PhD  Giuseppe Neri MD  PhD  Myriam Carpenito MD  Annunziata Nusca MD  PhD  Francesco Grigioni MD  PhD  Gian Paolo Ussia MD
Affiliation:1. Unit of Cardiovascular Science, Campus Bio-Medico University, Roma, Italy;2. Unit of Cardiovascular Science, Campus Bio-Medico University, Roma, Italy

Division of Cardiology, University Magna Graecia of Catanzaro, Catanzaro, Italy

Abstract:Edge-to-edge tricuspid transcatheter repair requires extensive echocardiographic planning before the procedure. Sometimes, anatomic features may anticipate a suboptimal result. For this reason, a tailored strategy is the key to the procedural success. We report a case of massive tricuspid regurgitation due to multiple complex mechanisms that was successfully treated by clipping the antero-septal commissure to restore functional coaptation of the valve leaflets at multiple sites.
Keywords:transcatheter edge-to-edge repair  transesophageal echocardiography  tricuspid regurgitation  tricuspid valve
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