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May 21, 2024Reviews in Cardiovascular MedicineOpen Access

Surgical Treatment Strategy of Functional Tricuspid Regurgitation

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Key result

Surgical annuloplasty improves functional TR severity and patient prognosis despite ongoing recurrence challenges.

Why the study?

FTR was historically overlooked in left heart valve disease, but severe TR significantly impacts surgical prognosis and addressing the tricuspid valve improves outcomes.

Design

Review

Authors

PWPeihe WangChinese Academy of Medical Sciences & Peking Union Medical CollegeYHYu HuangNational Yang Ming Chiao Tung UniversityLSLu SunUniversity of North Carolina at Chapel Hill

Discussion

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Implication

May support tricuspid annuloplasty during left heart surgery; leaves open optimal strategies to minimize recurrence.

Structured PICO

P
Population
Patients with functional tricuspid regurgitation (FTR), particularly in cases of left heart valve disease
I
Intervention
Surgical management of the tricuspid valve alongside left heart disease management

Addressing the tricuspid valve alongside left heart disease management improves postoperative cardiac function and quality of life in patients with functional tricuspid regurgitation.

Limitations

  • Surgical procedures do not completely cure TR and do not guarantee that it will not recur after surgery.
  • De Vega annuloplasty has significant shortcomings in terms of the durability of the contouring of the tricuspid annulus.
  • Ring annuloplasty is not effective in improving FTR caused by pressure overload.

Cite This Study

Wang et al. (2024) conducted a review in Functional tricuspid regurgitation. Tricuspid valve surgery was evaluated. Surgical treatment of functional tricuspid regurgitation, particularly tricuspid annuloplasty, effectively improves the degree of regurgitation and patient prognosis, though recurrence remains a challenge.

synapsesocial.com/papers/6a158582d64fa333899fc3e7https://doi.org/10.31083/j.rcm2505182

Topics

Tricuspid regurgitationValvular heart disease
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Transcatheter interventions for severe tricuspid regurgitation: a literature review.2022 · 5 citations
  2. 22022 CMICS Expert Consensus on the Management of Isolated Tricuspid Regurgitation after Left-Sided Valve Surgery2023 · 5 citations
  3. 3Determinants of Recurrent or Residual Functional Tricuspid Regurgitation After Tricuspid Annuloplasty2006 · 208 citations
  4. 4Functional Tricuspid Regurgitation2015 · 339 citations