“…The presence of genetic syndrome and significant TR are lifelong risk factors for patients with HLHS. 5 , 6 , 7 Interestingly, only 2 patients underwent tricuspid valve surgery, even though 17% had at least moderate degree of TR prior to Stage II. The tricuspid valve poses a major challenge in this patient population with ongoing efforts to better delineate abnormalities of the valve with concurrent improvement in surgical techniques.…”