2 hrs ago
India's First Tricuspid TEER Procedure Treats Rare Valve Disease
An elderly patient had a rare problem that made a heart valve floppy and unable to close properly.
This caused blood to flow backward inside the heart.
Doctors treated the problem without open-heart surgery.
They guided a thin tube through a blood vessel to reach the heart.
Special 3-D images helped them see the unusual valve shape.
The doctors placed two small clips on the valve.
The clips helped the valve close better.
The medical team said the leakage fell by more than 90 percent.
The patient was taken off breathing support immediately and began moving the next day.
An elderly patient with rare tricuspid valve Barlow’s Disease underwent a catheter-based TEER procedure in New Delhi.
The condition caused severe tricuspid regurgitation, allowing blood to leak backward through the valve.
Doctors used 3-D echocardiography and placed two clips to bring the valve leaflets closer together.
The treating team reported that the procedure reduced valve leakage by more than 90%.
The patient left breathing support in the operating room, spent one day in intensive care and was mobilised the next day.
- Who
- An elderly patient with tricuspid valve Barlow’s Disease was treated by a team led by interventional structural cardiologist Dr. Ravinder Singh Rao, with Dr. Kailash Chandra and Dr. Prashant Varshney.
- What
- The patient underwent a dedicated tricuspid transcatheter edge-to-edge repair procedure using two clips to reduce severe tricuspid regurgitation.
- Where
- New Delhi, India.
- When
- The procedure was reported on September 24; the articles do not specify the procedure date.
- Why
- The treatment was performed to reduce severe valve leakage while avoiding open-heart surgery in a patient with complex valve anatomy.
Key facts
- Condition
- Rare tricuspid valve Barlow’s Disease associated with valve prolapse
- Complication
- Severe tricuspid regurgitation
- Treatment
- Tricuspid transcatheter edge-to-edge repair using two clips
- Imaging
- Advanced three-dimensional echocardiography
- Reported result
- More than 90% reduction in valve leakage
- Recovery
- One day in intensive care; mobilised the following day
- Significance
- Reported as the first case in India of tricuspid TEER for primary tricuspid regurgitation caused by Barlow’s Disease
Quotes
Dr. Ravinder Singh Rao
Interventional structural cardiologist and member of the treating team
“Tricuspid valve disease can be challenging to treat, particularly when the valve anatomy is complex. In this patient, the severity of the leakage and the valve structure required careful assessment and precise treatment. The successful outcome shows how catheter-based approaches can help us treat selected patients who may otherwise have limited options”
theprint.in
Sources
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