Repeated Transcatheter Edge-to-Edge Repair Procedure of the Tricuspid Valve in a Patient with Mitral Valve Replacement.

Tricuspid regurgitation (TR) is associated with poor prognosis and increased morbidity, especially in patients with high surgical risk and limited treatment options. We present the case of a 70-year-old male with a history of mitral valve replacement and prior transcatheter edge-to-edge repair (TV-TEER), who underwent a successful redo TV-TEER due to torrential TR. Post-procedural evaluation revealed a significant reduction in TR severity and clinical improvement. Unfortunately, the patient succumbed to infectious complications and sepsis in the third week of follow-up. Due to the limited data on redo TV-TEER interventions, this case adds to the existing literature and suggests that redo TV-TEER may be a viable alternative to surgery in selected patients.