Transcatheter Tricuspid Repair With MitraClip in a Patient With a Failing De Vega Annuloplasty

mitral valve, the intervention also aims not to induce moderate or severe valve stenosis (mean gradient > 3 mmHg); b) the second is the tricuspid approach of a 24-Fr system designed to be directed at the mitral valve; although right femoral access is the most frequently-used, transjugular access has been proposed, which, despite being awkward for the operator and the difficulty of controlling hemostasis after the procedure, permits direct access to the valve; and c) imaging assessment of the tricuspid valve with 2-dimensional/3-dimensional (2D/3D) TTE/TEE is another of the major challenges of this technique: the need to learn and obtain planes that allow good visualization of the valve anatomy and provide a reliable guide during the procedure is a crucial element in the development of this technique. In conclusion, the use of MitraClip in the tricuspid position appears to have promising results, but new registries need to be published to determine whether the treatment is safe and effective in the long-term.