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A Complex Tricuspid Clip: Bridging the Decision (JACC: Case Reports July 2020)
A Complex Tricuspid Clip: Bridging the Decision (JACC: Case Reports July 2020)

A 22-year-old female with Turner's syndrome presented after cardiac arrest with severe right-sided heart failure and severe TR. MitraClip was utilized with TEE and ICE for a significant reduction in the TR that persisted at 30 days. We present the youngest patient to undergo treatment of severe TR with MitraClip.


Julia Grapsa, MD, PhD, FACC

CME Editor
Nadeen N. Faza, MD, FACC

Devang Parikh, MD, MA

Sarah Blissett, MD, MHPE

Kirsten Tolstrup, MD

Vaikom S. Mahadevan, MD

CME Information

Target Audience

JACC Journal CME/MOC/ECME is intended for physicians who treat patients with cardiovascular disease.

Important Dates

Date of Release: July 15, 2020
Term of Approval/Date of CME/MOC/ECME Expiration: July 14, 2021

Learner Objectives

After reading this article the reader should be able to:

  • Discuss the long-term hemodynamic sequelae of recurrent left-sided obstructive lesions.
  • Diagnose the severity of tricuspid valve regurgitation based on a five-class grading scheme.
  • Recognize transcatheter tricuspid valve repair as a treatment for refractory right-sided heart failure.
  • Recognize clinical features that suggest that transcatheter tricuspid valve edge-to-edge repair could be considered in the management of patients with tricuspid regurgitation.
  • Identify anatomic features that predict procedural success of transcatheter tricuspid valve edge-to-edge repair.
  • Evaluate procedural success of transcatheter edge-to-edge repair of the tricuspid valve.

Method of Participation and Claiming Credit
This ACC JACC Journals CME/MOC/ECME activity includes the reading of an article published in one of the JACC journals and the successful completion of self-assessment questions.  

Requesting AMA PRA Category 1 CME Credit™ and/or MOC, or ECME credit for this Activity
To request credit, you must:

  1. Read the article for which you wish to receive credit.
  2. Answer the self-assessment questions. You need to have achieved a passing score of 70% or better in order for the Evaluation link to become activated. If you did not achieve a passing score, please click on the Posttest link in the left navigation bar and retake the exam.
  3. After you complete the Evaluation, click on the Claim Credit button in the left navigation bar.
  4. For CME credit, enter the total amount of time you actually spent in the activity in the box provided. Please note that you may only claim once for this activity. Click Claim.
  5. For MOC credit, click the Claim button in the row for MOC. Please note that you may only claim once for this activity. Confirm your ABIM number and date of birth.
  6. For ECME credit, click the Claim button in the row for EMCE. Please note that you may only claim once for this activity. Enter date of birth and click Submit.
  7. The page will be updated with the date and time that you claimed your credit.
  8. To view your credit, or to print a certificate, please go to and navigate to the My Transcript section of My ACC.

This CME/MOC/ECME-certified activity may contain links to other educational resources such as clinical trial summaries, journal articles, guidelines, etc., that may not be CME/MOC/ECME certified. Please note that clicking on the links provided to view these resources will open new windows, which are outside of this CME/MOC/ECME-certified activity.

Availability: On-Demand
Available Jul 15, 2020 to Jul 14, 2021
Cost: FREE
Credit Offered: 1 CME Credit
1 ABIM-MOC Point
1 ECME Credit
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