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Updated: Aug 12, 2026
08:31
A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
[Surgical strategy for tricuspid valve disease]
1Department of Surgery, Sakakibara Heart Institute, Tokyo, Japan.
Nihon Geka Gakkai Zasshi
|May 10, 2001
Summary
Functional tricuspid regurgitation (TR), often due to mitral valve disease, is common. Tricuspid valve repair is feasible for most patients, while replacement is reserved for severe organic changes or endocarditis.
Area of Science:
- Cardiology
- Cardiac Surgery
- Valvular Heart Disease
Context:
- Functional tricuspid regurgitation (TR) is the most frequent cause of tricuspid valve dysfunction, typically secondary to mitral valve disease.
- Tricuspid valve repair and annuloplasty are viable options for many patients with functional TR and other etiologies of tricuspid valve dysfunction.
Purpose:
- To outline the indications and treatment options for tricuspid valve dysfunction, focusing on repair versus replacement strategies.
- To discuss the suitability of different prosthetic valve types for tricuspid valve replacement.
Summary:
- Annuloplasty and valve repair are feasible for most patients with functional tricuspid regurgitation and other causes of tricuspid valve dysfunction.
- Tricuspid valve replacement is indicated for severe organic changes or infective endocarditis.
- Bioprostheses offer good long-term results, but bileaflet mechanical prostheses are alternatives for specific patient groups, including those with concomitant mechanical valve replacement or persistent pulmonary hypertension.
Impact:
- Provides guidance on selecting appropriate interventions for tricuspid valve dysfunction, potentially improving patient outcomes.
- Highlights the role of different surgical techniques and prosthetic options in managing complex valvular heart disease.
- Informs clinical decision-making regarding tricuspid valve surgery, considering patient-specific factors and comorbidities.
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