Congenital isolated tricuspid valve (TV) cleft in the anterior leaflet is a rare occurrence. while clefts of the mitral valve leaflets are more common and are usually associated with other congenital heart diseases. In this article. we report a case of TV regurgitation in a young adult female due to an isolated congenital cleft in the anterior TV leaflet. https://www.paperlet.com/product-category/womens-footwear/