Edge-to-edge repair with ring annuloplasty for post-transplant biopsy-related tricuspid regurgitation

We experienced an early biopsy-related tricuspid regurgitation post-transplant. Transthoracic and transoesophageal echocardiography showed a frail anterior leaflet with a possible ruptured chorda. The tricuspid valve was inspected, and a ruptured chorda was noted in the anterior leaflet with a single torn chorda on the septal leaflet. The corresponding papillary muscle was difficult to identify. The patient underwent successful tricuspid valve repair with edge-to-edge repair and ring annuloplasty. Compared to a complex repair procedure such as the replacement of multiple artificial chordae, the edge-to-edge repair to correct prolapse without creating a gradient across the valve is reproducible.