Tricuspid regurgitation diagnosis and treatment
Tricuspid regurgitation (TR) is the most common lesion of the tricuspid valve (TV). Mild TR is common and usually is benign. However, moderate or severe TR can lead to irreversible myocardial damage and adverse outcomes. Despite these findings, few patients with significant TR undergo surgery. The t...
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Veröffentlicht in: | European heart journal 2017-03, Vol.38 (9), p.634-638 |
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creator | Arsalan, Mani Walther, Thomas Smith, 2nd, Robert L Grayburn, Paul A |
description | Tricuspid regurgitation (TR) is the most common lesion of the tricuspid valve (TV). Mild TR is common and usually is benign. However, moderate or severe TR can lead to irreversible myocardial damage and adverse outcomes. Despite these findings, few patients with significant TR undergo surgery. The treatment of functional (secondary) TR in particular remains controversial because of high rates of residual or recurrent TR and poor outcomes following surgical intervention. Traditional teaching that functional TR resolves on its own if the underlying disease is successfully treated has proven to be incorrect. This review aims to clarify management of TR by describing the anatomy, pathophysiology, diagnosis, and treatment of TR, including the eventual possibility of percutaneous TV therapy. |
doi_str_mv | 10.1093/eurheartj/ehv487 |
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Mild TR is common and usually is benign. However, moderate or severe TR can lead to irreversible myocardial damage and adverse outcomes. Despite these findings, few patients with significant TR undergo surgery. The treatment of functional (secondary) TR in particular remains controversial because of high rates of residual or recurrent TR and poor outcomes following surgical intervention. Traditional teaching that functional TR resolves on its own if the underlying disease is successfully treated has proven to be incorrect. This review aims to clarify management of TR by describing the anatomy, pathophysiology, diagnosis, and treatment of TR, including the eventual possibility of percutaneous TV therapy.</description><identifier>ISSN: 0195-668X</identifier><identifier>EISSN: 1522-9645</identifier><identifier>DOI: 10.1093/eurheartj/ehv487</identifier><identifier>PMID: 26358570</identifier><language>eng</language><publisher>England</publisher><subject>Cardiac Catheterization - methods ; Echocardiography - methods ; Heart Valve Prosthesis Implantation - methods ; Humans ; Treatment Outcome ; Tricuspid Valve Insufficiency - diagnosis ; Tricuspid Valve Insufficiency - etiology ; Tricuspid Valve Insufficiency - surgery</subject><ispartof>European heart journal, 2017-03, Vol.38 (9), p.634-638</ispartof><rights>Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2015. 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Mild TR is common and usually is benign. However, moderate or severe TR can lead to irreversible myocardial damage and adverse outcomes. Despite these findings, few patients with significant TR undergo surgery. The treatment of functional (secondary) TR in particular remains controversial because of high rates of residual or recurrent TR and poor outcomes following surgical intervention. Traditional teaching that functional TR resolves on its own if the underlying disease is successfully treated has proven to be incorrect. This review aims to clarify management of TR by describing the anatomy, pathophysiology, diagnosis, and treatment of TR, including the eventual possibility of percutaneous TV therapy.</description><subject>Cardiac Catheterization - methods</subject><subject>Echocardiography - methods</subject><subject>Heart Valve Prosthesis Implantation - methods</subject><subject>Humans</subject><subject>Treatment Outcome</subject><subject>Tricuspid Valve Insufficiency - diagnosis</subject><subject>Tricuspid Valve Insufficiency - etiology</subject><subject>Tricuspid Valve Insufficiency - surgery</subject><issn>0195-668X</issn><issn>1522-9645</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kDtPwzAYRS0EoqWwM6GMLCF-2xlRxUuqxFIkNsuxv7SumqTYDhL_nqKW3uUu99zhIHRL8APBNatgjGuwMW8qWH9zrc7QlAhKy1pycY6mmNSilFJ_TtBVShuMsZZEXqIJlUxoofAUVcsY3Jh2wRcRVmNchWxzGPrCB7vqhxRSYXtf5Ag2d9Dna3TR2m2Cm2PP0Mfz03L-Wi7eX97mj4vSMU5yqZRsnSOeOs44eE4ltVhBuw9TDCtWt1L5VivBuWs4WCCuwV4o5Qho2rAZuj_87uLwNULKpgvJwXZrexjGZIimUjIiqdhP8WHq4pBShNbsYuhs_DEEmz9N5qTJHDTtkbvj-9h04E_Avxf2C4EKZ5c</recordid><startdate>20170301</startdate><enddate>20170301</enddate><creator>Arsalan, Mani</creator><creator>Walther, Thomas</creator><creator>Smith, 2nd, Robert L</creator><creator>Grayburn, Paul A</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170301</creationdate><title>Tricuspid regurgitation diagnosis and treatment</title><author>Arsalan, Mani ; Walther, Thomas ; Smith, 2nd, Robert L ; Grayburn, Paul A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c341t-776fcc1d2c434ed4262a07effff3730739f67df87544cb4eae1cb0d577c1e82b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Cardiac Catheterization - methods</topic><topic>Echocardiography - methods</topic><topic>Heart Valve Prosthesis Implantation - methods</topic><topic>Humans</topic><topic>Treatment Outcome</topic><topic>Tricuspid Valve Insufficiency - diagnosis</topic><topic>Tricuspid Valve Insufficiency - etiology</topic><topic>Tricuspid Valve Insufficiency - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arsalan, Mani</creatorcontrib><creatorcontrib>Walther, Thomas</creatorcontrib><creatorcontrib>Smith, 2nd, Robert L</creatorcontrib><creatorcontrib>Grayburn, Paul A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arsalan, Mani</au><au>Walther, Thomas</au><au>Smith, 2nd, Robert L</au><au>Grayburn, Paul A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Tricuspid regurgitation diagnosis and treatment</atitle><jtitle>European heart journal</jtitle><addtitle>Eur Heart J</addtitle><date>2017-03-01</date><risdate>2017</risdate><volume>38</volume><issue>9</issue><spage>634</spage><epage>638</epage><pages>634-638</pages><issn>0195-668X</issn><eissn>1522-9645</eissn><abstract>Tricuspid regurgitation (TR) is the most common lesion of the tricuspid valve (TV). 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subjects | Cardiac Catheterization - methods Echocardiography - methods Heart Valve Prosthesis Implantation - methods Humans Treatment Outcome Tricuspid Valve Insufficiency - diagnosis Tricuspid Valve Insufficiency - etiology Tricuspid Valve Insufficiency - surgery |
title | Tricuspid regurgitation diagnosis and treatment |
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