Heart 2009;95:868-869
EDITORIALS
Functional tricuspid regurgitation: a more complex entity than it appears
1 Department of Cardiac & Transplant Surgery, Royal Brompton and Harefield NHS Trust, Harefield Hospital, Harefield, UK
2 Department of Cardiovascular Sciences, National Heart and Lung Institute, Imperial College London, London, UK
Professor Gilles D Dreyfus, Department of Cardiac & Transplant Surgery, Harefield Hospital, Hill End Road, Harefield UB9 6JH, UK; g.dreyfus@rbht.nhs.uk
Accepted 17 March 2009
| The first 150 words of the full text of this article appear below. |
The optimal management of patients with functional tricuspid regurgitation (TR) at the time of left-sided heart-valve surgery continues to cause controversy. It is well recognised that patients with severe functional TR should have concomitant tricuspid-valve repair, but the management of mild or moderate TR at the time of left-sided heart-valve surgery continues to be debated.1
In this issue of the journal, Song et al (see article on page 931) address the very important question of whether mild TR should be surgically addressed during left-sided heart-valve surgery.2 In a retrospective study of 638 patients who underwent left-sided heart-valve surgery without tricuspid valve surgery, 548 patients had none or trace TR (grade 0–1/4), and 90 patients had mild TR (grade 2/4). At a mean follow-up of 64 months, moderate or severe TR developed in 7.3% in those who had none or trace TR, and in 20% in those who had mild
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Heart 2009 95: 931-936.[Abstract] [Full Text] [PDF]
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