title: Tricuspid regurgitation: pathophysiology and management.
abstract: Tricuspid regurgitation (TR) is one of the most commonly encountered valvular problems in clinical practice. Although diagnosed easily with echocardiography, it contributes to significant mortality and morbidity when severe. Once thought to be a benign functional valvular abnormality, TR has received more attention in recent years and different treatment options have emerged. However, there is no consensus regarding the superiority of one treatment approach over another. With the development of percutaneous atrioventricular valves, new horizons are open for exploration in the treatment of TR. Clinical indications of treatment are likely to change with increased use of left ventricular assist devices and increased survival of patients with poor right ventricular function. This review discusses the pathophysiology and management of TR along with newer treatment modalities currently under investigation.
authors.affiliation: Division of Cardiovascular Diseases, University of Kansas Medical Center, Kansas City, KS 66160, USA. rthapa@kumc.edu
authors.forename: Rashmi
authors.initials: R
authors.lastname: Thapa
authors.forename: Buddhadeb
authors.initials: B
authors.lastname: Dawn
authors.forename: Jayant
authors.initials: J
authors.lastname: Nath
mesh_terms: D058385:Cardiac Valve Annuloplasty / Q000379:methods* / Q000639:trends; D019560:Echocardiography, Three-Dimensional; D005260:Female; D017408:Guidelines as Topic; D019918:Heart Valve Prosthesis Implantation / Q000379:methods* / Q000639:trends; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D014261:Tricuspid Valve / Q000503:physiopathology / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis / Q000503:physiopathology* / Q000601:surgery*; D016278:Ventricular Function, Right