Surgical banding of the inferior vena cava for the facilitation of transcatheter valve implantation in a patient with severe secondary tricuspid regurgitation

Abstract

Pathological tricuspid regurgitation (TR) is more often secondary due to annular dilatation and increased tricuspid leaflet tethering. Although ring annuloplasty is key to surgery for TR, surgical treatment of TR in high-risk patients is associated with increased mortality. Percutaneous single or dual caval transcatheter heart valve-(THV)-prosthesis implantation seems feasible, but not realizable in many patients due to …