Tricuspid Valve Repair has gained renewed clinical importance as understanding of right-sided valve disease evolves and transcatheter solutions emerge. Previously overshadowed by left-sided interventions, tricuspid repair is now recognised as a crucial strategy for preventing right-ventricular dysfunction, improving symptoms and reducing hospitalisation. As treatment paradigms shift, clinicians increasingly explore Tricuspid Valve Repair when attending structural-heart, imaging and interventional tracks at a cardiology conference. Advancements in surgical techniques and device-based options continue to expand the field of transcatheter tricuspid-valve interventions.

The session begins with a review of TR mechanisms, focusing on annular dilation, leaflet tethering, pacemaker-lead interference and congenital abnormalities. Participants explore the progression of right-sided dilation, hemodynamic overload and atrial enlargement, emphasising how early repair can prevent irreversible RV remodeling.

Diagnostic evaluation relies on high-quality imaging. The session explains how 2D and 3D echocardiography assess leaflet coaptation, tenting height, annular dimensions, RV function and severity quantification. CT imaging is highlighted for pre-procedural planning, especially for transcatheter therapies requiring anatomical suitability assessment.

Surgical repair techniques reviewed include annuloplasty rings, suture repair, leaflet augmentation and chordal techniques. Participants learn indications for isolated repair versus combined mitral or aortic procedures. The importance of addressing TR during left-sided surgery is emphasised to prevent long-term complications.

Transcatheter repair is explored in depth, covering edge-to-edge repair, annuloplasty devices, spacer-based therapies and investigational replacement platforms. Attendees examine patient-selection algorithms, imaging-guided procedural planning and clinical-trial evidence demonstrating symptomatic and functional improvements.

Complication management includes reviewing risks such as RV failure, device detachment, leaflet damage and persistent TR. Post-procedure management covers diuretic optimisation, surveillance imaging and assessment of right-heart recovery. Case studies illustrate the nuances of complex anatomy, lead-related interactions and multimodality imaging integration.

Future directions include next-generation repair and replacement devices, fusion imaging integration, robotics and computational modelling to refine procedural planning. By mastering surgical and transcatheter repair frameworks, clinicians gain enhanced skills to deliver personalised, high-quality care for tricuspid-valve disease.