EDUCATION IN HEART

Valve disease

Management of tricuspid valve regurgitation

Manuel J Antunes¹, John B Barlow²

¹ Department of Cardiothoracic Surgery, University Hospital, Coimbra, Portugal
² Cardiology Unit, Johannesburg Hospital and University of the Witwatersrand, Johannesburg, South Africa

Correspondence to:
Correspondence to:
Professor Manuel J Antunes
Cirurgia Cardiotorácica, Hospitais da Universidade, 3000-275 Coimbra, Portugal; antunes.cct.huc@sapo.pt

Keywords: tricuspid valve regurgitation

The first 150 words of the full text of this article appear below.

Management of tricuspid regurgitation (TR) is becoming an increasingly difficult decision-making problem. TR occurs in 8–35% of patients, especially in association with acquired left heart valve disease of rheumatic origin, primary isolated TR being very rare. It is more frequently found in association with mitral rather than with aortic valve disease, and is much rarer in degenerative disease. In the majority of patients (70–85%), the TR is said to be "functional", caused by dilatation of the annulus as a result of increased pulmonary and right ventricular pressure; in the remaining 15–30% of the cases it may be organic and related to direct involvement of the tricuspid valve by the rheumatic disease.^1,2 Whichever type, TR has a significant impact on the clinical condition and the medium and long-term prognosis of the patients. Hence, it requires special consideration during mitral and/or aortic valve surgery and thereafter.

In 1967, Brawnwald et . . . [Full text of this article]

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