Isolated tricuspid regurgitation: outcomes and therapeutic interventions
Why the study?
What are the outcomes and optimal therapeutic interventions for patients with isolated tricuspid regurgitation?
Population
Patients with isolated tricuspid regurgitation
Design
Review
Authors
Discussion
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Member takes
Implication
High mortality with stand-alone isolated TR surgery warrants caution in selection; leaves open whether early intervention improves outcomes before RV dysfunction.
Structured PICO
What are the outcomes and optimal therapeutic interventions for patients with isolated tricuspid regurgitation?
P
Population
Patients with isolated tricuspid regurgitation
I
Intervention
Surgical valve repair or replacement, or percutaneous interventions
This review highlights the high operative mortality of stand-alone surgery for isolated tricuspid regurgitation and proposes early surgical intervention in low-risk symptomatic patients before right ventricular dysfunction occurs.
Limitations
- Paucity of data demonstrating improved survival
- Significant knowledge gaps remain regarding operative outcomes and comparative data for medical and surgical therapy
Cite This Study
Fender et al. (2017) studied this question.