Multi-Modality Imaging in the Evaluation and Treatment of Tricuspid Regurgitation

  • Samuel M. Kim
  • Harsimran S. Singh
  • Jillian Nati
  • Jonathan N. Ginns
Imaging (Q Truong, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Imaging


Purpose of review

The goal of this review is to cover the epidemiology of tricuspid regurgitation (TR), anatomy of the tricuspid valve (TV), and the mechanisms and modern treatment of TR. The focus will be on the role of echocardiography, cardiac CT, and MRI to determine the mechanism, severity, and management strategies of TR.

Recent findings

The evaluation and management of TR is a rapidly growing field with significant advances in both imaging and interventions. Important advances have been made to understand TV anatomy and physiology in 3D echo, CT, and MRI. Additional understanding of the abnormal outcomes in both primary TR and secondary TR have been appreciated. Multiple transcatheter devices have reached the stage of early trials in high surgical risk cohorts with favorable initial findings.


TR is a significant cardiovascular problem and vastly undertreated in the present era. There has been tremendous growth in knowledge of mechanisms of TR, its prognostic implications, timing of intervention, and development of novel treatment strategies. Multimodality imaging plays a key role in evaluation and treatment of this condition.


Tricuspid regurgitation Tricuspid valve Multi-modality imaging Valvular heart disease Transcatheter intervention 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References and Recommended Reading

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Samuel M. Kim
    • 1
  • Harsimran S. Singh
    • 1
  • Jillian Nati
    • 1
  • Jonathan N. Ginns
    • 1
  1. 1.Division of Cardiology, Department of MedicineNewYork Presbyterian Hospital-Weill Cornell MedicineNew YorkUSA

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