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
Hauptverfasser: Arsalan, Mani, Walther, Thomas, Smith, 2nd, Robert L, Grayburn, Paul A
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container_title European heart journal
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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.
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection
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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