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Chronic Ovine Model of Right Ventricular Failure and Functional Tricuspid Regurgitation
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Specific Anatomic Considerations for Tricuspid Interventions.

Ryan P Lau1, Gregory A Fishbein2, Michael C Fishbein2

  • 1David Geffen School of Medicine at University of California, Los Angeles, 10833 Le Conte Ave, Los Angeles, CA, 90095, USA. RPLau@mednet.ucla.edu.

Current Cardiology Reports
|June 1, 2019
PubMed
Summary
This summary is machine-generated.

This review covers tricuspid valve (TV) anatomy and pathology, focusing on interventions to restore TV function. Transcatheter interventions are emerging as a promising frontier for treating TV disease.

Keywords:
Transcatheter interventionTricuspid interventionsTricuspid regurgitationTricuspid stenosisTricuspid valve anatomyTricuspid valve surgery

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Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Interventional Cardiology

Background:

  • Tricuspid valve (TV) pathology is less common than aortic and mitral valve disease.
  • Interventions for TV disease present unique challenges due to complex anatomy and pathology.
  • Transcatheter interventions represent a significant advancement in treating TV disease.

Purpose of the Study:

  • To review normal TV and right heart anatomy and pathology.
  • To highlight features relevant to TV interventions.
  • To discuss challenges and future directions in TV interventions.

Main Methods:

  • Literature review focusing on TV anatomy, pathology, and interventions.
  • Analysis of current and emerging transcatheter techniques for TV repair and replacement.
  • Discussion of anatomical and pathological considerations impacting interventional success.

Main Results:

  • TV interventions face hurdles but are rapidly evolving with new transcatheter technologies.
  • Specific anatomical and pathological features of the TV and right heart pose challenges but also offer targets for intervention.
  • Early data suggest safety and efficacy of novel transcatheter approaches.

Conclusions:

  • Transcatheter interventions are transforming the treatment landscape for tricuspid valve disease.
  • Understanding TV anatomy and pathology is crucial for successful intervention.
  • Continued innovation in interventional techniques promises to improve outcomes for patients with TV pathology.