Tricuspid Regurgitation Following Cavotricuspid Isthmus Ablation: A Case Report

Introduction: Tricuspid valve prolapse (TVP) is characterized by the tricuspid valve leaflets’ displacement beyond the annular plane during midsystole. Although less common than mitral valve prolapse, TVP often coexists with it, sharing similar pathophysiological mechanisms. This case highlights new...

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Main Authors: Pablo Pineda-Sanabria, Catalina Arbelaez-Hoyos, Antonio Villamizar-Romero, Mauricio Pineda-Gomez
Format: Article
Language:English
Published: SAGE Publishing 2025-06-01
Series:Clinical Medicine Insights: Cardiology
Online Access:https://doi.org/10.1177/11795468251350228
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author Pablo Pineda-Sanabria
Catalina Arbelaez-Hoyos
Antonio Villamizar-Romero
Mauricio Pineda-Gomez
author_facet Pablo Pineda-Sanabria
Catalina Arbelaez-Hoyos
Antonio Villamizar-Romero
Mauricio Pineda-Gomez
author_sort Pablo Pineda-Sanabria
collection DOAJ
description Introduction: Tricuspid valve prolapse (TVP) is characterized by the tricuspid valve leaflets’ displacement beyond the annular plane during midsystole. Although less common than mitral valve prolapse, TVP often coexists with it, sharing similar pathophysiological mechanisms. This case highlights new-onset tricuspid regurgitation (TR) following cavotricuspid isthmus ablation for atrial flutter, stressing the need for vigilant monitoring after such procedures. Case: A 68-year-old male with atrial flutter, coronary artery disease, and type 2 diabetes underwent cavotricuspid isthmus ablation in August 2023 after failed rate control. By September 2023, he developed a grade 4/6 systolic murmur. Imaging confirmed TVP with mild to moderate TR, though he remained asymptomatic. Conservative management was adopted. Follow-up in October 2024 showed mild TR without prolapse, indicating improvement. Conclusion: This case underscores the importance of recognizing valvular complications after atrial flutter ablation and conducting thorough post-procedural imaging to enable timely intervention and improved outcomes.
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issn 1179-5468
language English
publishDate 2025-06-01
publisher SAGE Publishing
record_format Article
series Clinical Medicine Insights: Cardiology
spelling doaj-art-30f32d39ea754d499d6345fb1cea30382025-08-20T03:22:21ZengSAGE PublishingClinical Medicine Insights: Cardiology1179-54682025-06-011910.1177/11795468251350228Tricuspid Regurgitation Following Cavotricuspid Isthmus Ablation: A Case ReportPablo Pineda-Sanabria0Catalina Arbelaez-Hoyos1Antonio Villamizar-Romero2Mauricio Pineda-Gomez3Faculty of Medicine, Pontificia Universidad Javeriana, Bogotá, ColombiaFaculty of Medicine, Pontificia Universidad Javeriana, Bogotá, ColombiaFaculty of Medicine, Pontificia Universidad Javeriana, Bogotá, ColombiaInternal Medicine Department, Universidad de Caldas, Manizales, ColombiaIntroduction: Tricuspid valve prolapse (TVP) is characterized by the tricuspid valve leaflets’ displacement beyond the annular plane during midsystole. Although less common than mitral valve prolapse, TVP often coexists with it, sharing similar pathophysiological mechanisms. This case highlights new-onset tricuspid regurgitation (TR) following cavotricuspid isthmus ablation for atrial flutter, stressing the need for vigilant monitoring after such procedures. Case: A 68-year-old male with atrial flutter, coronary artery disease, and type 2 diabetes underwent cavotricuspid isthmus ablation in August 2023 after failed rate control. By September 2023, he developed a grade 4/6 systolic murmur. Imaging confirmed TVP with mild to moderate TR, though he remained asymptomatic. Conservative management was adopted. Follow-up in October 2024 showed mild TR without prolapse, indicating improvement. Conclusion: This case underscores the importance of recognizing valvular complications after atrial flutter ablation and conducting thorough post-procedural imaging to enable timely intervention and improved outcomes.https://doi.org/10.1177/11795468251350228
spellingShingle Pablo Pineda-Sanabria
Catalina Arbelaez-Hoyos
Antonio Villamizar-Romero
Mauricio Pineda-Gomez
Tricuspid Regurgitation Following Cavotricuspid Isthmus Ablation: A Case Report
Clinical Medicine Insights: Cardiology
title Tricuspid Regurgitation Following Cavotricuspid Isthmus Ablation: A Case Report
title_full Tricuspid Regurgitation Following Cavotricuspid Isthmus Ablation: A Case Report
title_fullStr Tricuspid Regurgitation Following Cavotricuspid Isthmus Ablation: A Case Report
title_full_unstemmed Tricuspid Regurgitation Following Cavotricuspid Isthmus Ablation: A Case Report
title_short Tricuspid Regurgitation Following Cavotricuspid Isthmus Ablation: A Case Report
title_sort tricuspid regurgitation following cavotricuspid isthmus ablation a case report
url https://doi.org/10.1177/11795468251350228
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