Acute Afterload Mismatch After TTVr

During this live Journal Club presentation and expert case discussion, members of the ACC CV Imaging Section and the JACC: Case Reports editorial board will review a novel case of acute afterload mismatch after transcatheter tricuspid valve repair (TTVr) in an 84-year-old woman with symptomatic severe functional tricuspid regurgitation. Attendees will have the opportunity ask questions via chat.

Learning Objectives

  • To consider the impact of TTVr on RV afterload and RV systolic function when sudden changes in hemodynamics are observed during the procedure.
  • To rapidly consider a differential diagnosis of hypotension during TTVr and be prepared to provide timely hemodynamic support for RV dysfunction.


Julia Grapsa, MD, PhD, FACC
Lawrence G. Rudski, MD, CM, FACC
Karima Addetia, MD, FACC
Neil Fam, MD, MSc
Daniel Hagemeyer, MD
Rebecca T. Hahn, MD, FACC
Anas Merdad, MD
Geraldine Ong, MD
Maurizio Taramasso, MD, PhD

Clinical Topics: Noninvasive Imaging, Valvular Heart Disease