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Functional tricuspid regurgitation: indications, techniques, and outcomes

  • Tessa M. F. Watt
  • Alexander A. Brescia
  • Aaron M. Williams
  • Steven F. BollingEmail author
Original Article

Abstract

Functional tricuspid regurgitation (TR) results from asymmetric dilation of the tricuspid valve annulus. This often occurs due to right ventricular enlargement and dysfunction as a consequence of myocardial or valvular abnormalities of the left heart. Even mild TR at the time of left-sided valvular surgery may worsen postoperatively, which carries poor prognostic implications. In spite of data revealing poor outcomes associated with residual TR, surgery for functional TR remains underutilized. Surgical repair techniques for TR include placement of a rigid or semi-rigid tricuspid annular ring, which has been shown to provide superior longevity compared with suture and flexible band repair techniques. Additionally, emerging percutaneous annuloplasty techniques to correct functional TR can expand interventional treatment options to patients who would otherwise carry prohibitive operative risk.

Keywords

Functional tricuspid regurgitation Tricuspid repair Tricuspid annuloplasty Tricuspid rings 

Notes

Funding information

Alexander Brescia is supported by the National Research Service Award postdoctoral fellowship (No. 5T32HL076123).

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Research involving human participants and/or animals

Not applicable (N/A). There were no human participants or animal involvement.

Informed consent

Not applicable.

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Copyright information

© Indian Association of Cardiovascular-Thoracic Surgeons 2020

Authors and Affiliations

  1. 1.Department of Cardiac SurgeryUniversity of Michigan, Frankel Cardiovascular CenterAnn ArborUSA

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