We report the case of a 43-year-old man with a past medical history of heart transplantation in 2017 due to ischemic dilated cardiomyopathy. One month after the transplant. after routine endomyocardial biopsy. a follow-up transthoracic echocardiogram revealed the presence of moderate tricuspid regurgitation (TR). https://www.nacrack.com/