f. PASTA

Lastly, the Pledget-assisted suture tricuspid annuloplasty (PASTA) device is an annuloplasty system that reproduces Hetzer's double orifice suture technique. Two sutures are placed at ring level in its anterolateral and posteroseptal portion, with tightening and approximation of the extremities, creating a tricuspid valve with two orifices similar to the final outcome obtained after percutaneous mitral valve repair with the MitraClip device. The first experience was obtained in a porcine model, with good results [49]. The first experience in humans has recently been published, evidencing a marked reduction in valve area - though dehiscence of the device occurred after two days, with the recurrence of TR [50].
