Severe tricuspid regurgitation after heart transplantation

Donor Tricuspid Annuloplasty During Orthotopic Heart Transplantation: Long-Term Results of a Prospective Controlled Study

“…Variability exists between the common techniques for measuring TR [5]. The color doppler quantification method is the one used in this study and is the technique that is most widely accepted (4 [11].…”

“…In addition, the studies that follow patients over a period of time demonstrate the progressive nature of this abnormality. For instance, in the Stanford experience, the incidence of severe TR increases in survivors from 7.8% at five years to 14.2% at ten years [5].…”

“…term survival in patients with moderate TR is decreased when compared to patients with less than mild TR [11,5]. In a study analyzing intra-operative echocardiograms, immediate significant TR was associated with a poor long term survival.…”

“…Orthotopic heart transplantation (OHT) is often associated with the development of tricuspid regurgitation (TR) [1,2] with the reported incidence varying from 47 to 98% [3,4,5]. The TR can be related structural or functional factors.…”

Tricuspid valve regurgitation after heart transplantation

“…This high rate likely reflects a liberal application of the diagnosis towards a dynamic process that has many etiologies, ranges of severity, and clinical significance. While the majority of TVR in the posttransplant patient is mild and clinically insignificant, approximately 34% lies in the moderate to severe range resulting in to decreased quality of life due to symptoms such as peripheral edema, exertional dyspnea, and fatigue (2).…”