Heterotopic bicaval implantation of transcatheter system for the treatment of severe tricuspid regurgitation

The authors describe the first case of heterotopic bicaval implantation of transcatheter valve system in Russia for correction of severe tricuspid regurgitation in a patient with extremely high surgical risk and contraindication for redo surgery under cardiopulmonary bypass. The patient did not meet anatomical criteria for transcatheter edge-to-edge tricuspid valve repair. This case demonstrates the effectiveness of heterotopic bicaval implantation for tricuspid valve disease in high-risk patient with better control of chronic heart failure and positive reverse right ventricular remodeling over a 12-month follow-up.