Table 3

Aetiology of tricuspid regurgitation

1. Primary tricuspid regurgitation
(A) CongenitalTricuspid valve prolapse
Ebstein’s anomaly
Tricuspid valve dysplasia (grades I–III)
Abnormal number of leaflets
Atrioventricular channel
Cleft of a tricuspid leaflet
Left sided tricuspid valve in congenitally corrected transposition of the great arteries
Pulmonary atresia with intact ventricular septum
Short tendinous chords
Aberrant tendinous chords with tethering of the tricuspid leaflets
(B) AcquiredEndocarditis
Rheumatic valve disease
Right ventricular infarction
Heart transplantation
Carcinoid (or other tumours)
Trauma
Rheumatic arthritis
Radiation therapy
Papillary muscle dysfunction
Hypereosinophilic syndrome
Thyrotoxicosis
Anorectic drugs
2. Secondary tricuspid regurgitation
3. Physiological tricuspid regurgitation