Key result
Review highlights growing evidence favoring a more aggressive surgical approach for secondary TR.
Why the study?
Surgical tricuspid repair was historically avoided due to misconceptions, leaving many patients untreated, but recent evidence favoring more aggressive surgical management has increased interest in secondary tricuspid regurgitation.
This review emphasizes the increasing clinical importance of secondary tricuspid regurgitation and supports a more proactive surgical approach to its management.
Supports considering tricuspid repair at left-sided surgery; leaves open need for RCTs to confirm benefit.
Functional or secondary tricuspid regurgitation (STR) is the most frequent etiology of tricuspid valve pathology in Western countries. Surgical tricuspid repair has been avoided for years, because of the misconception that tricuspid regurgitation should disappear once the primary left-sided problem is treated; this results in a large number of untreated patients with STR. Over the past few years, many investigators have reported evidence in favor of a more aggressive surgical approach to STR. Consequently, interest has been growing in the physiopathology and treatment of STR. The purpose of this review is to explore the anatomical basis, pathophysiology, therapeutic approach, and future perspectives with regard to the management of STR.
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Taramasso et al. (2012) conducted a review in Secondary tricuspid regurgitation. Surgical tricuspid repair was evaluated. A review of secondary tricuspid regurgitation highlights growing evidence favoring a more aggressive surgical approach and explores its pathophysiology and management.
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