Contemporary Surgical Tricuspid Valve Repair

Area of Science:

• Cardiovascular Surgery
• Cardiac Valve Repair
• Interventional Cardiology

Background:

• Severe symptomatic tricuspid valve regurgitation (TR) often requires surgical intervention when performed concurrently with other cardiac procedures.
• Despite advancements in percutaneous therapies for TR, surgical options remain crucial due to anatomical limitations in some patients.
• Surgical repair of the tricuspid valve is a well-established treatment modality.

Purpose of the Study:

• To provide a contemporary review of surgical techniques for treating tricuspid valve regurgitation (TR).
• To complement existing and emerging tricuspid valve treatment therapies with a focus on surgical approaches.
• To highlight the safety and feasibility of surgical tricuspid valve repair.

Main Methods:

• A comprehensive literature review was conducted on established surgical tricuspid repair techniques.
• Analysis focused on techniques applicable to severe symptomatic tricuspid valve regurgitation (TR).
• The review synthesizes current knowledge on surgical management of TR.

Main Results:

• Surgical repair of the tricuspid valve has been demonstrated to be safe and feasible.
• Annuloplasty is identified as the cornerstone surgical strategy for tricuspid valve repair.
• Leaflet and sub-valvular techniques are effective adjuncts for achieving successful tricuspid valve repair.

Conclusions:

• Surgical repair of the tricuspid valve is a safe and feasible option for patients with severe TR.
• Annuloplasty remains the primary surgical approach, supported by leaflet and sub-valvular techniques.
• The treatment landscape for tricuspid valve regurgitation is continually evolving, with surgery playing a vital role.