Tricuspid valve surgery: repair and replacement.

Area of Science:

• Cardiology
• Cardiac Surgery
• Valvular Heart Disease

Background:

• Tricuspid valve disease historically received less attention than other cardiac valves.
• Functional tricuspid regurgitation, secondary to right ventricular issues, is most common.
• Increased use of right-sided devices raises risk of organic tricuspid disease.

Purpose of the Study:

• To review surgical options and strategies for common tricuspid valve diseases.
• To highlight evolving guidelines advocating for proactive surgical management.
• To discuss advancements in tricuspid valve repair and replacement.

Main Methods:

• Review of current American and European guidelines.
• Analysis of surgical techniques, including tricuspid annuloplasty.
• Discussion of technological advancements in tricuspid valve therapies.

Main Results:

• Tricuspid regurgitation is not benign and often benefits from intervention.
• Tricuspid annuloplasty is the preferred technique with superior long-term outcomes.
• Newer annuloplasty rings and transcatheter therapies are expanding treatment options.

Conclusions:

• Tricuspid disease requires an aggressive surgical approach.
• Surgical repair is the gold standard for functional tricuspid regurgitation.
• Replacement is reserved for advanced or organic tricuspid disease.