title: Tricuspid regurgitation diagnosis and treatment.
abstract: Tricuspid regurgitation (TR) is the most common lesion of the tricuspid valve (TV). Mild TR is common and usually is benign. However, moderate or severe TR can lead to irreversible myocardial damage and adverse outcomes. Despite these findings, few patients with significant TR undergo surgery. The treatment of functional (secondary) TR in particular remains controversial because of high rates of residual or recurrent TR and poor outcomes following surgical intervention. Traditional teaching that functional TR resolves on its own if the underlying disease is successfully treated has proven to be incorrect. This review aims to clarify management of TR by describing the anatomy, pathophysiology, diagnosis, and treatment of TR, including the eventual possibility of percutaneous TV therapy.
authors.affiliation: Kerckhoff Clinic, Bad Neuheim, Germany.|Heart Hospital Baylor Plano and Baylor University Medical Center, 621 N. Hall Street, Suite H030, Dallas, TX 75226, USA.
authors.forename: Mani
authors.initials: M
authors.lastname: Arsalan
authors.affiliation: Kerckhoff Clinic, Bad Neuheim, Germany.
authors.forename: Thomas
authors.initials: T
authors.lastname: Walther
authors.affiliation: Kerckhoff Clinic, Bad Neuheim, Germany.|Heart Hospital Baylor Plano and Baylor University Medical Center, 621 N. Hall Street, Suite H030, Dallas, TX 75226, USA.
authors.forename: Robert L
authors.initials: RL
authors.lastname: Smith
authors.affiliation: Kerckhoff Clinic, Bad Neuheim, Germany.|Heart Hospital Baylor Plano and Baylor University Medical Center, 621 N. Hall Street, Suite H030, Dallas, TX 75226, USA.
authors.forename: Paul A
authors.initials: PA
authors.lastname: Grayburn
mesh_terms: D006328:Cardiac Catheterization / Q000379:methods; D004452:Echocardiography / Q000379:methods; D019918:Heart Valve Prosthesis Implantation / Q000379:methods; D006801:Humans; D016896:Treatment Outcome; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*
keywords: Cardiac surgery; Tricuspid regurgitation; Valvular heart disease