Moderate Tricuspid Regurgitation With Left-Sided Degenerative Heart Valve Disease: To Repair or Not to Repair?

Long-Term Outcomes of Tricuspid Annuloplasty for Functional Tricuspid Regurgitation Associated with Degenerative Mitral Regurgitation: Suture Annuloplasty Versus Ring Annuloplasty Using a Flexible Band

“…However, few data regarding the long-term outcomes after TV annuloplasty are available, which has led to a variety of thresholds being used as an indication for its concomitant use. 7,8) Both suture annuloplasty and ring annuloplasty have been performed for treating TR, and a variety of prosthetic rings, such as flexible bands, semi-rigid rings, and rigid rings, are currently available. However, it is not clear which procedure is superior, and the durability of each prosthetic ring has not been described.…”

Role of Tricuspid Valve Repair for Moderate Tricuspid Regurgitation during Minimally Invasive Mitral Valve Surgery

“…In a separate study, Navia et al investigated the postoperative outcome of patients undergoing left-sided heart valve surgery or coronary artery bypass grafting with or without additional TV repair in the presence of preoperative moderate TR. 25 They found no significant differences in the 5-year survival rate and TV-related reoperation rate between both the groups. However, postoperative echocardiographic measurements showed significantly less residual TR in the repair group that persisted during follow-up.…”

“…23 Other investigators have focused on the degree of TR at the time of MV surgery to address this issue. 24,25 Calafiore et al performed a propensity score-adjusted analysis in 110 patients undergoing MV surgery due to functional MR with or without additional TV repair due to moderate or severe TR. These investigators found that patients undergoing additional TV repair had a significantly higher survival rate during follow-up (74.5% vs. 45.0%).…”

Efficiency of different annuloplasty in treating functional tricuspid regurgitation and risk factors for recurrence

“…Tricuspid valve replacement, which allows adequate surface area of co-aptation impossible, is associated with higher mortality [13,14]. Several studies have shown better long-term freedom from recurrent TV regurgitation and repeat operation in those who underwent TV repair [15][16][17][18][19][20]; however, data regarding the outcome of such an approach and the optimal surgical technique for TV repair is lacking [6,21]. …”

“…Patients with severe TR after MV surgery and who are undergoing isolated tricuspid valve (TV) surgery, usually have high operative mortality, and no significant improvement in functional capacity [4,5]. On the contrary, many investigators have reported that even if there was an absence of any organic pathology, TR would not reliably resolve after the correction of the primary disorder [6][7][8].…”