Cardiac Intervention

Transcatheter Tricuspid Valve Replacement (TTVR)

A minimally invasive catheter-based procedure to replace a severely leaking or narrowed tricuspid valve without open-heart surgery.

Call for Consultation

Procedure Catheter-based intervention

Hospital Stay Depends on recovery

Recovery Generally faster

Suitability After specialist evaluation

Overview

Understanding Transcatheter Tricuspid Valve Replacement (TTVR)

What is Transcatheter Tricuspid Valve Replacement?

The tricuspid valve lies between the right atrium and right ventricle and prevents blood from flowing backwards into the right side of the heart. Severe tricuspid regurgitation causes the right heart to enlarge and fail over time, leading to swelling of the legs, abdominal fullness, fatigue and breathlessness. Transcatheter Tricuspid Valve Replacement (TTVR) allows a new valve to be implanted inside the diseased tricuspid valve through a catheter, without opening the chest.

Who Needs TTVR?

Patients with severe or torrential tricuspid regurgitation and heart failure symptoms
Patients who have failed medical therapy for right heart failure
Patients considered high-risk for conventional tricuspid valve surgery
Patients with a degenerated surgical tricuspid valve requiring valve-in-valve TTVR

How is TTVR Performed?

Access is typically obtained through the femoral vein, and the replacement valve is advanced under fluoroscopic and echocardiographic guidance into the tricuspid position. Once correctly positioned, the valve is deployed, immediately reducing the backward leak of blood and easing the strain on the right heart.

Benefits of TTVR

Avoids high-risk open tricuspid valve surgery
Reduces symptoms of right heart failure such as leg swelling and fatigue
Shorter recovery period and hospital stay
Improves quality of life in patients previously considered inoperable

Recovery After TTVR

Patients are closely monitored after the procedure for right heart function, and diuretic therapy is often adjusted to help the body eliminate accumulated fluid. Follow-up echocardiography confirms valve position and function over subsequent visits.

Why Choose Dr. Prashant Dwivedi for TTVR in Jaipur?

Dr. Prashant Dwivedi is one of the few interventional cardiologists in India with dedicated training in TTVR and TriClip technology from Mount Sinai Hospital, New York, offering this cutting-edge therapy to patients in Jaipur and across Rajasthan.

Treatment suitability is confirmed only after clinical examination, cardiac imaging and detailed assessment by the specialist.

Treatment Journey

How the intervention is planned

Every procedure is planned according to the patient’s heart anatomy, symptoms and overall medical condition.

Detailed Evaluation

Echocardiography and CT assess the tricuspid valve anatomy and right heart function.

Heart Team Planning

Access route (usually femoral vein) and valve sizing are carefully selected.

Valve Delivery and Deployment

The replacement valve is advanced under imaging guidance and deployed within the tricuspid valve.

Monitoring and Recovery

Right heart function is monitored, and diuretic therapy is adjusted as needed.

Long-Term Follow-up

Follow-up echocardiography confirms valve position and continued symptom relief.

Cardiac Specialist

Dr. Prashant Dwivedi

Interventional and Structural Heart Cardiologist

Dr. Prashant Dwivedi has extensive experience in structural heart interventions, combining detailed imaging, careful procedural planning, international training and personalised patient care.

Structural Heart Expertise Advanced Cardiac Imaging Patient-Centred Care

Frequently Asked Questions

Questions about Transcatheter Tricuspid Valve Replacement (TTVR)

General information to help patients understand the intervention and treatment process.

Symptoms such as persistent leg swelling, abdominal bloating, fatigue and breathlessness due to severe tricuspid valve leakage may indicate the need for TTVR, especially when medications no longer control symptoms.

TTVR is an advanced, evolving structural heart technology that has shown encouraging results for patients with severe tricuspid regurgitation who were previously considered inoperable due to high surgical risk.

TTVR is performed through a catheter via the femoral vein without opening the chest, offering a less invasive option with shorter recovery compared to conventional open tricuspid valve surgery.

Many patients notice reduced leg swelling and improved energy levels within days to weeks as the right heart's workload decreases following successful valve placement.

Get expert guidance for your heart condition

Schedule a consultation with Dr. Prashant Dwivedi for accurate evaluation, transparent advice and advanced cardiac treatment planning.