A groundbreaking milestone in cardiac care has been achieved with the successful performance of a rare transcatheter mitral and tricuspid clip procedure, offering a minimally invasive alternative to open-heart surgery for a 58-year-old female patient at Indraprastha Apollo Hospital. Spearheaded by Dr. Vanita Arora, Senior Consultant, Cardiac Electrophysiologist & Interventional Cardiologist, the innovative procedure resulted in a remarkable reduction in regurgitation and facilitated a swift recovery for the patient, who was discharged in stable condition within just 48 hours.

The patient had been grappling with palpitations for the past 2-3 years and previously underwent radiofrequency ablation (RFA) for atrioventricular nodal reentrant tachycardia (AVNRT) in 2020. Despite the initial procedure, she continued to experience atrial fibrillation with a fast ventricular response (AF with FVR), alongside symptoms of weakness, fatigue, and breathlessness. Upon admission, a diagnosis revealed severe mitral regurgitation (MR) and severe tricuspid regurgitation (TR), accompanied by an enlargement of both the left and right atria and a decline in left ventricular ejection fraction (LVEF) to 35%.

Given the complexity of her condition, the patient was presented with the option of traditional open-heart surgery for mitral and tricuspid valve repair/replacement. However, she opted for the minimally invasive Transcatheter Mitral and Tricuspid Clips.

During the procedure, the expert medical team successfully reduced the mitral regurgitation from Grade IV to Grade I by strategically placing the mitraclip, followed by the placement of the tricuspid clip to reduce tricuspid regurgitation from Grade IV to Grade I. Both interventions were meticulously guided by transesophageal echocardiography (TEE) and fluoroscopy to ensure precise placement of the clips.

Remarkably, the patient was discharged in stable condition just 48 hours after the procedure, with a subsequent 2D echocardiogram confirming the successful placement of both clips and a reduction in regurgitation to Grade I.

Dr. Vanita Arora praised the collaborative efforts of the medical team, emphasizing the significance of their minimally invasive approach in providing a safer alternative to open-heart surgery. She highlighted the pivotal role of advanced technology, including transesophageal echocardiography (TEE) and fluoroscopy, in achieving precise outcomes and facilitating a rapid recovery for the patient.

This pioneering case exemplifies how innovative healthcare solutions, coupled with teamwork and advanced technology, can revolutionize patient care and offer effective treatments with minimal recovery times. The medical community remains steadfast in its commitment to advancing patient-centric care and delivering cutting-edge treatments to enhance patient outcomes.