Evolving indications for tricuspid valve surgery

Patrick M. McCarthy, Virna L. Sales

Research output: Contribution to journalReview articlepeer-review

20 Scopus citations

Abstract

Opinion statement: More attention has been paid to the mitral valve (MV) than the tricuspid valve (TV), and this relative paucity of data has led to confusion regarding the timing of TV surgery. We review the American College of Cardiology/American Heart Association and European Society of Cardiology guidelines to identify areas of concordance (severe tricuspid regurgitation [TR] in a patient undergoing mitral valve surgery); discordance (less than severe TR but with markers for late TR recurrence such as pulmonary hypertension, a dilated TV annulus, atrial fibrillation, permanent transtricuspid pacing wires and others); and disagreement (surgery for primary TR). We provide our perspective from Northwestern University on these issues and where the guidelines are silent (TR in patients undergoing non-mitral valve operations). Finally, we review recent publications on the results of TV repair and replacement. Although there have been scant publications in the past, there have been more useful publications in recent years to guide our decision making.

Original languageEnglish (US)
Pages (from-to)587-597
Number of pages11
JournalCurrent Treatment Options in Cardiovascular Medicine
Volume12
Issue number6
DOIs
StatePublished - Dec 2010

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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