We present the first case in Latin America of transcatheter edge-to-edge mitral and tricuspid valve repair in a single procedure, in a patient at high risk for surgery. The patient progressed to heart failure and limitation in her daily living activities when she was submitted to transcatheter mitral and tricuspid valve repair. Six months later, she was asymptomatic and performing her daily living activities. We discuss the most updated recommendations for transcatheter repair when both valvar conditions coexist, and show the knowledge gaps.
First performance of transcatheter edge-to-edge mitral and tricuspid valve repair in a single procedure in Latin America: case report
Martins,Estêvão Carvalho de Campos and Bernardi,Fernando Luiz de Melo and Oliveira,Dinaldo Cavalcanti and Leite,Rogério Sarmento and Pestana,Lisley Riano da Silva and Fuks,Valério and Frighetto,João Luiz and Júnior,Sidney Munhoz and Cavalcanti,Frederico Louzada and Santos,Diego Vilela and Taramasso,Maurizio. First performance of transcatheter edge-to-edge mitral and tricuspid valve repair in a single procedure in Latin America: case report. J Transcat Intervent [online]. 2022, vol.30, [cited 2026-03-06], Available from: <https://jotci.org/article/first-performance-of-transcatheter-edge-to-edge-mitral-and-tricuspid-valve-repair-in-a-single-procedure-in-latin-america-case-report/>. ISSN . .
Martins,Estêvão Carvalho de Campos; Bernardi,Fernando Luiz de Melo; Oliveira,Dinaldo Cavalcanti; Leite,Rogério Sarmento; Pestana,Lisley Riano da Silva; Fuks,Valério; Frighetto,João Luiz; Júnior,Sidney Munhoz; Cavalcanti,Frederico Louzada; Santos,Diego Vilela; Taramasso,Maurizio. First performance of transcatheter edge-to-edge mitral and tricuspid valve repair in a single procedure in Latin America: case report. J Transcat Intervent, v.30, Jun. 2022. Available from: <https://jotci.org/article/first-performance-of-transcatheter-edge-to-edge-mitral-and-tricuspid-valve-repair-in-a-single-procedure-in-latin-america-case-report/>. acess on 06 Mar. 2026. .
Martins,Estêvão Carvalho de Campos, & Bernardi,Fernando Luiz de Melo, & Oliveira,Dinaldo Cavalcanti, & Leite,Rogério Sarmento, & Pestana,Lisley Riano da Silva, & Fuks,Valério, & Frighetto,João Luiz, & Júnior,Sidney Munhoz, & Cavalcanti,Frederico Louzada, & Santos,Diego Vilela, & Taramasso,Maurizio. (2022). First performance of transcatheter edge-to-edge mitral and tricuspid valve repair in a single procedure in Latin America: case report. J Transcat Intervent, 30, .
MartinsEstêvão Carvalho de Campos, BernardiFernando Luiz de Melo, OliveiraDinaldo Cavalcanti, LeiteRogério Sarmento, PestanaLisley Riano da Silva, FuksValério, FrighettoJoão Luiz, JúniorSidney Munhoz, CavalcantiFrederico Louzada, SantosDiego Vilela, TaramassoMaurizio. First performance of transcatheter edge-to-edge mitral and tricuspid valve repair in a single procedure in Latin America: case report. J Transcat Intervent [Internet]. 2022 Jun [cited 2026 Mar 06]; 30: Available from: https://jotci.org/article/first-performance-of-transcatheter-edge-to-edge-mitral-and-tricuspid-valve-repair-in-a-single-procedure-in-latin-america-case-report/. .
Figure 1
Three-dimensional transthoracic echocardiogram before the procedure. (A) Three-dimensional reconstruction of the mitral valve showing prolapse of the anterior leaflet in segment A2 (arrow). (B) Frontal view of the mitral valve showing the central regurgitant jet (A2/P2). (C) A 4-chamber view showing severe tricuspid regurgitation. (D) Short axis confirming severe tricuspid regurgitation.
, Fernando Luiz de Melo Bernardi
