Transcatheter tricuspid valve intervention is gaining importance due to the development of percutaneous techniques addressing tricuspid regurgitation. The presence of a redundant eustachian valve can increase procedural complexity by restricting the manipulation of transcatheter devices. We present a case of torrential tricuspid regurgitation and a redundant eustachian valve hampering the manipulation of the delivery system. We were able to reach the tricuspid valve by looping 2 standard guidewires into the atrium. We performed a tricuspid-plasty by implanting 2 MitraClips with a satisfactory final result. This technique can be applied when the eustachian valve impairs navigation in the right atrium.
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