Unsolved questions in prophylactic tricuspid valve repair and the possible role of transcatheter tricuspid intervention

Ana Paula Tagliari; Diego Vilela Santos; Eduardo Keller Saadi; Maurizio Taramasso; Carlos A Mestres

Unsolved questions in prophylactic tricuspid valve repair and the possible role of transcatheter tricuspid intervention

Am J Cardiovasc Dis. 2020 Aug 15;10(3):142-149. eCollection 2020.

Authors

Ana Paula Tagliari^{1

2

3}, Diego Vilela Santos⁴, Eduardo Keller Saadi^{3

5}, Maurizio Taramasso¹, Carlos A Mestres^{1

6}

Affiliations

¹ University Hospital of Zurich-Clinic for Cardiac Surgery Zurich, Switzerland.
² Postgraduate Program in Cardiology and Cardiovascular Sciences, School of Medicine, Universidade Federal do Rio Grande do Sul (UFRGS) Porto Alegre, Brazil.
³ Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)-Cardiovascular Surgery Department Porto Alegre, Brazil.
⁴ Incor-Instituto do Coração de Natal-Cardiology Department Natal, Brazil.
⁵ Hospital de Clínicas de Porto Alegre (HCPA)-Cardiovascular Surgery Department Porto Alegre, Brazil.
⁶ The University of The Free State-Department of Cardiothoracic Surgery Bloemfontein, South Africa.

PMID: 32923095
PMCID: PMC7486522

Abstract

Tricuspid regurgitation progression after left-sided surgery and its correlation with worse postoperative and long-term outcomes is a highly debated topic. Some studies support prophylactic tricuspid repair based on annulus dimension rather than on tricuspid regurgitation severity only, while others are in favor of a more conservative management. Furthermore, the advent of percutaneous tricuspid valve intervention and its promising short-term outcomes has introduced a new factor to be taken into account on the tricuspid intervention decision-making process. We present a review on prophylactic tricuspid valve intervention, covering currently available data, as well as the role of transcatheter tricuspid valve intervention in this equation.

Keywords: Functional tricuspid regurgitation; transcatheter tricuspid valve intervention; tricuspid valve repair.