Tricuspid Valve Regurgitation: Current Understanding and Novel Treatment Options

Sala, Alessandra; Hahn, Rebecca T.; Kodali, Susheel

doi:10.1016/j.jscai.2023.101041

Cited by 5 publications

(2 citation statements)

References 104 publications

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“…The region of the TVA is of clinical importance in various surgical procedures, including tricuspid valve surgery, coronary artery bypass grafting, percutaneous coronary interventions, and ablation procedures [ 5 , 6 , 7 , 8 , 9 ]. Its size, shape, and dynamics may change depending on the pathology of the tricuspid valve and the remodeling of the RA and RV [ 6 , 10 ]. In addition, the septal part of the TVA is adjacent to Koch’s triangle where the atrioventricular node (AVN) is located [ 1 , 6 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…Tricuspid annuloplasty is a standard surgical treatment for TR. Tricuspid valve annuloplasty can be performed either percutaneously, minimally invasively, or via a sternotomy approach [ 7 , 8 , 9 , 10 , 14 ]. Unfortunately, the newer percutaneous devices require sufficient space around TVA as well as tissue with optimal durability for their implantation [ 9 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

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The Right Coronary Anatomy and Operative Topography of the Tricuspid Valve Annulus

Piotrowski,

Burysz,

Batko

et al. 2024

JCDD

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Background: The region of the tricuspid valve is an important area for various cardiac interventions. In particular, the spatial relationships between the right coronary artery and the annulus of the tricuspid valve should be considered during surgical interventions. The aim of this study was to provide an accurate description of the clinical anatomy and topography of this region. Methods: We analyzed 107 computed tomography scans (44% female, age 62.1 ± 9.4 years) of the tricuspid valve region. The circumference of the free wall of the tricuspid valve annulus was divided into 13 annular points and measurements were taken at each point. The prevalence of danger zones (distance between artery and annulus less than 2 mm) was also investigated. Results: Danger zones were found in 20.56% of the cases studied. The highest prevalence of danger zones and the smallest distances were found at the annular points of the tricuspid valve located at the posterior insertion of the leaflets, without observed sex-specific differences. Conclusion: The highest risk of iatrogenic damage to the right coronary artery is in the posterior part of the tricuspid valve annulus.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Right Coronary Anatomy and Operative Topography of the Tricuspid Valve Annulus

Piotrowski,

Burysz,

Batko

et al. 2024

JCDD

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Transcatheter Therapy for the Tricuspid Valve: A Focused Review of Edge-to-Edge Repair and Orthotopic Valve Replacement

Madhavan,

Agarwal,

Hahn

2024

Curr Cardiol Rep

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Purpose of Review Patients with severe tricuspid regurgitation (TR) are at risk for significant morbidity and mortality. Transcatheter tricuspid valve interventions (TTVI) may offer patients less invasive treatment alternatives to surgery. This review evaluates the most common class of device currently used worldwide to treat TR, tricuspid transcatheter edge-to-edge repair (T-TEER) and orthotopic transcatheter tricuspid valve replacement (TTVR), both of which are now approved in the USA and Europe. Recent Findings The first pivotal randomized clinical trial, TRILUMINATE, demonstrated that T-TEER can safely reduce TR and is associated with improved health status outcomes. However, results of this trial have raised questions about whether this device can provide sufficient TR reduction to impact clinical outcomes. Orthotopic TTVR has recently gained attention with initial data suggesting near-complete TR elimination. Summary The current review examines the technical features and anatomic limitations of the most commonly used devices for T-TEER and orthotopic TTVR, discusses the current clinical data for these devices, and offers a theoretical construct for device selection.

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Multimodality Imaging for Transcatheter Tricuspid Regurgitation Interventions: Novel Approaches to the Forgotten Valve

Coraducci,

Barbarossa,

Lofiego

et al. 2024

Echocardiography

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Tricuspid regurgitation (TR) poses a significant healthcare burden and is a major concern for patients who experience debilitating symptoms and face a poorer prognosis. Cardiologists are showing renewed interest in TR, as the previous belief that it was merely a bystander of left‐sided heart disease has evolved. As a result, more transcatheter techniques addressing TR are emerging. Although a clear impact on mortality from these transcatheter tricuspid valve interventions (TTVI) has not yet been demonstrated, the improvement in symptoms and quality of life for patients is substantial, leading to increased use of these procedures in clinical practice. In this review, we focus on multimodality imaging as an essential tool for quantifying TR severity, assessing right ventricular (RV) function, understanding the underlying mechanisms, selecting the appropriate intervention, and ensuring thorough and accurate preprocedural planning to minimize complications.

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Tricuspid Valve Regurgitation: Current Understanding and Novel Treatment Options

Cited by 5 publications

References 104 publications

The Right Coronary Anatomy and Operative Topography of the Tricuspid Valve Annulus

The Right Coronary Anatomy and Operative Topography of the Tricuspid Valve Annulus

Transcatheter Therapy for the Tricuspid Valve: A Focused Review of Edge-to-Edge Repair and Orthotopic Valve Replacement

Multimodality Imaging for Transcatheter Tricuspid Regurgitation Interventions: Novel Approaches to the Forgotten Valve

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