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We report a case of massive tricuspid regurgitation due to multiple complex mechanisms that was successfully treated by clipping the antero\u2010septal commissure to restore functional coaptation of the valve leaflets at multiple sites.<\/jats:p>","DOI":"10.1111\/echo.15527","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T08:20:36Z","timestamp":1673598036000},"page":"147-152","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The butterfly effect: Restoring the tricuspid coaptation after clipping the antero\u2010septal commissure"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5374-8125","authenticated-orcid":false,"given":"Valeria","family":"Cammalleri","sequence":"first","affiliation":[{"name":"Unit of Cardiovascular Science Campus Bio\u2010Medico University  Roma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Neri","sequence":"additional","affiliation":[{"name":"Unit of Cardiovascular Science Campus Bio\u2010Medico University  Roma Italy"},{"name":"Division of Cardiology University Magna Graecia of Catanzaro  Catanzaro Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Myriam","family":"Carpenito","sequence":"additional","affiliation":[{"name":"Unit of Cardiovascular Science Campus Bio\u2010Medico University  Roma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annunziata","family":"Nusca","sequence":"additional","affiliation":[{"name":"Unit of Cardiovascular Science Campus Bio\u2010Medico University  Roma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Grigioni","sequence":"additional","affiliation":[{"name":"Unit of Cardiovascular Science Campus Bio\u2010Medico University  Roma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gian Paolo","family":"Ussia","sequence":"additional","affiliation":[{"name":"Unit of Cardiovascular Science Campus Bio\u2010Medico University  Roma Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,1,13]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCIMAGING.116.005332"},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2021.778445"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/echo.15196"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2016.06.022"}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.15527","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/echo.15527","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.15527","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T14:55:58Z","timestamp":1692456958000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.15527"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,13]]},"references-count":4,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,2]]}},"alternative-id":["10.1111\/echo.15527"],"URL":"https:\/\/doi.org\/10.1111\/echo.15527","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"type":"print","value":"0742-2822"},{"type":"electronic","value":"1540-8175"}],"subject":[],"published":{"date-parts":[[2023,1,13]]},"assertion":[{"value":"2022-07-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}