Current Treatment Strategies for Tricuspid Regurgitation.

Abstract:

PURPOSE OF REVIEW:Tricuspid regurgitation is common; however, recognition and diagnosis, clinical outcomes, and management strategies are poorly defined. Here, we will describe the etiology and natural history of tricuspid regurgitation (TR), evaluate existing surgical outcomes data, and review the evolving field of percutaneous interventions to treat TR. RECENT FINDINGS:Previously, the only definitive corrective therapy for TR was surgical valve repair or replacement which is associated with significant operative mortality. Advances in percutaneous valve repair techniques are now being translated to the tricuspid valve. These novel interventions may offer a lower-risk alternative treatment in patients at increased surgical risk. Significant TR adversely impacts survival. Surgery remains the only proven therapy for treatment of TR and may be underutilized due to mixed outcomes data. Early experience with percutaneous interventions is promising, but large clinical experience is lacking. Further study will be required before these therapies are introduced into broader clinical practice.

journal_name

Curr Cardiol Rep

authors

Al-Hijji M,Fender EA,El Sabbagh A,Holmes DR

doi

10.1007/s11886-017-0920-4

subject

Has Abstract

pub_date

2017-09-14 00:00:00

pages

106

issue

11

eissn

1523-3782

issn

1534-3170

pii

10.1007/s11886-017-0920-4

journal_volume

19

pub_type

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