A 58-year-old woman from Kenya with a prior tricuspid valve replacement presented with progressive shortness of breath that had worsened over several months, eventually limiting routine daily activities. She had undergone surgical valve replacement in 2011 and remained stable for years, but gradual degeneration of the bioprosthetic valve led to severe dysfunction. On evaluation, she was diagnosed with torrential tricuspid regurgitation, elevated valve gradients, and severe right ventricular dysfunction. Her clinical status indicated advanced right-sided heart failure, and the risk associated with repeat open-heart surgery was considered prohibitively high.
Multiple centers deemed her unsuitable for redo surgery. She was later evaluated at Indraprastha Apollo Hospital, where the heart team reassessed her condition and opted for a transcatheter approach. Given the high surgical risk, a…
