State-of-the-Art Paper
The Growing Clinical Importance of Secondary Tricuspid Regurgitation

https://doi.org/10.1016/j.jacc.2011.09.069Get rights and content
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Functional or secondary tricuspid regurgitation (STR) is the most frequent etiology of tricuspid valve pathology in Western countries. Surgical tricuspid repair has been avoided for years, because of the misconception that tricuspid regurgitation should disappear once the primary left-sided problem is treated; this results in a large number of untreated patients with STR. Over the past few years, many investigators have reported evidence in favor of a more aggressive surgical approach to STR. Consequently, interest has been growing in the physiopathology and treatment of STR. The purpose of this review is to explore the anatomical basis, pathophysiology, therapeutic approach, and future perspectives with regard to the management of STR.

Key Words

functional tricuspid regurgitation
tricuspid valve
valvular heart disease

Abbreviations And Acronyms

AV
atrioventricular
LHD
left-sided heart disease
LV
left ventricular
MV
mitral valve
RV
right ventricular
STR
secondary tricuspid regurgitation
TA
tricuspid annulus
TR
tricuspid regurgitation
TV
tricuspid valve

Cited by (0)

Dr. Vanermen has relationships with Edwards Lifesciences, Medtronic, Valtech, USB Medical, and 4-Tech. Dr. Maisano has relationships with 4-Tech and Valtech. Dr. La Canna has received speaker's fees from Abbott Vascular. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.