Management of tricuspid regurgitation

Michele De Bonis, Maurizio Taramasso, Elisabetta Lapenna, Ottavio Alfieri

Research output: Contribution to journalArticle

Abstract

Secondary tricuspid regurgitation is the most frequent type of tricuspid insufficiency in western countries. Its surgical treatment is still an object of debate both in terms of timing and surgical techniques. Until recently, the avoidance of surgery for tricuspid repair was commonly accepted in patients with less than severe secondary tricuspid regurgitation undergoing left-sided valve surgery. More recently, compelling evidence in favour of a more aggressive surgical approach in this setting has emerged. The surgical technique should be tailored to the stage of disease. Ring annuloplasty is more durable than suture annuloplasty and represents the method of choice in the presence of isolated annular dilatation. In patients in whom the dilatation of the tricuspid annulus is combined with significant leaflet tethering, annuloplasty alone is unlikely to be durable and additional procedures have been proposed in order to achieve a more durable repair. In this review, pathophysiology, surgical indications, techniques of repair and outcomes of secondary tricuspid regurgitation will be discussed.Wewill also focus on the challenging issue of significant tricuspid regurgitation occurring late after left-sided valve surgery. Finally, the current and future role of percutaneous tricuspid valve technologies will be briefly described.

Original languageEnglish
Article number58
JournalF1000Prime Reports
Volume6
DOIs
Publication statusPublished - Jul 8 2014

Fingerprint

Tricuspid Valve Insufficiency
Dilatation
Tricuspid Valve
Sutures
Technology
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Management of tricuspid regurgitation. / De Bonis, Michele; Taramasso, Maurizio; Lapenna, Elisabetta; Alfieri, Ottavio.

In: F1000Prime Reports, Vol. 6, 58, 08.07.2014.

Research output: Contribution to journalArticle

De Bonis, Michele ; Taramasso, Maurizio ; Lapenna, Elisabetta ; Alfieri, Ottavio. / Management of tricuspid regurgitation. In: F1000Prime Reports. 2014 ; Vol. 6.
@article{64764e6b1b5046859c031e5cad406cc6,
title = "Management of tricuspid regurgitation",
abstract = "Secondary tricuspid regurgitation is the most frequent type of tricuspid insufficiency in western countries. Its surgical treatment is still an object of debate both in terms of timing and surgical techniques. Until recently, the avoidance of surgery for tricuspid repair was commonly accepted in patients with less than severe secondary tricuspid regurgitation undergoing left-sided valve surgery. More recently, compelling evidence in favour of a more aggressive surgical approach in this setting has emerged. The surgical technique should be tailored to the stage of disease. Ring annuloplasty is more durable than suture annuloplasty and represents the method of choice in the presence of isolated annular dilatation. In patients in whom the dilatation of the tricuspid annulus is combined with significant leaflet tethering, annuloplasty alone is unlikely to be durable and additional procedures have been proposed in order to achieve a more durable repair. In this review, pathophysiology, surgical indications, techniques of repair and outcomes of secondary tricuspid regurgitation will be discussed.Wewill also focus on the challenging issue of significant tricuspid regurgitation occurring late after left-sided valve surgery. Finally, the current and future role of percutaneous tricuspid valve technologies will be briefly described.",
author = "{De Bonis}, Michele and Maurizio Taramasso and Elisabetta Lapenna and Ottavio Alfieri",
year = "2014",
month = "7",
day = "8",
doi = "10.12703/P6-58",
language = "English",
volume = "6",
journal = "F1000Prime Reports",
issn = "2051-7599",
publisher = "Faculty of 1000 Ltd",

}

TY - JOUR

T1 - Management of tricuspid regurgitation

AU - De Bonis, Michele

AU - Taramasso, Maurizio

AU - Lapenna, Elisabetta

AU - Alfieri, Ottavio

PY - 2014/7/8

Y1 - 2014/7/8

N2 - Secondary tricuspid regurgitation is the most frequent type of tricuspid insufficiency in western countries. Its surgical treatment is still an object of debate both in terms of timing and surgical techniques. Until recently, the avoidance of surgery for tricuspid repair was commonly accepted in patients with less than severe secondary tricuspid regurgitation undergoing left-sided valve surgery. More recently, compelling evidence in favour of a more aggressive surgical approach in this setting has emerged. The surgical technique should be tailored to the stage of disease. Ring annuloplasty is more durable than suture annuloplasty and represents the method of choice in the presence of isolated annular dilatation. In patients in whom the dilatation of the tricuspid annulus is combined with significant leaflet tethering, annuloplasty alone is unlikely to be durable and additional procedures have been proposed in order to achieve a more durable repair. In this review, pathophysiology, surgical indications, techniques of repair and outcomes of secondary tricuspid regurgitation will be discussed.Wewill also focus on the challenging issue of significant tricuspid regurgitation occurring late after left-sided valve surgery. Finally, the current and future role of percutaneous tricuspid valve technologies will be briefly described.

AB - Secondary tricuspid regurgitation is the most frequent type of tricuspid insufficiency in western countries. Its surgical treatment is still an object of debate both in terms of timing and surgical techniques. Until recently, the avoidance of surgery for tricuspid repair was commonly accepted in patients with less than severe secondary tricuspid regurgitation undergoing left-sided valve surgery. More recently, compelling evidence in favour of a more aggressive surgical approach in this setting has emerged. The surgical technique should be tailored to the stage of disease. Ring annuloplasty is more durable than suture annuloplasty and represents the method of choice in the presence of isolated annular dilatation. In patients in whom the dilatation of the tricuspid annulus is combined with significant leaflet tethering, annuloplasty alone is unlikely to be durable and additional procedures have been proposed in order to achieve a more durable repair. In this review, pathophysiology, surgical indications, techniques of repair and outcomes of secondary tricuspid regurgitation will be discussed.Wewill also focus on the challenging issue of significant tricuspid regurgitation occurring late after left-sided valve surgery. Finally, the current and future role of percutaneous tricuspid valve technologies will be briefly described.

UR - http://www.scopus.com/inward/record.url?scp=84904888338&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84904888338&partnerID=8YFLogxK

U2 - 10.12703/P6-58

DO - 10.12703/P6-58

M3 - Article

AN - SCOPUS:84904888338

VL - 6

JO - F1000Prime Reports

JF - F1000Prime Reports

SN - 2051-7599

M1 - 58

ER -