“…A recent review showed that selected patients underwent tricuspid valve replacement after a mean of 7.64±3.31 years from their previous heart transplantation, mostly due to endomyocardial biopsies. 1 Repeated endomyocardial biopsies have been proven to exacerbate tricuspid regurgitation causing more harm and leading to a worsening in the valve condition, despite remaining a recognized method for allograft rejection monitoring.…”