Home > Riviste > Minerva Cardioangiologica > Fascicoli precedenti > Minerva Cardioangiologica 2017 October;65(5) > Minerva Cardioangiologica 2017 October;65(5):491-9

ULTIMO FASCICOLO
 

JOURNAL TOOLS

eTOC
Per abbonarsi
Sottometti un articolo
Segnala alla tua biblioteca
 

ARTICLE TOOLS

Publication history
Estratti
Permessi
Per citare questo articolo

 

REVIEW  FUNCTIONAL TRICUSPID REGURGITATION: FROM PATHOPHYSIOLOGY TO THE NOVEL PERCUTANEOUS APPROACHES 

Minerva Cardioangiologica 2017 October;65(5):491-9

DOI: 10.23736/S0026-4725.17.04350-X

Copyright © 2017 EDIZIONI MINERVA MEDICA

lingua: Inglese

Results of tricuspid valve surgery for functional tricuspid regurgitation: acute and long-term outcomes and predictors of failure

Alberto POZZOLI , Nicola BUZZATTI, Luca VICENTINI, Michele DE BONIS, Ottavio ALFIERI

Department of Heart Surgery, Vita-Salute University of Milan, Milan, Italy


PDF


The assessment and management of tricuspid valve (TV) disease evolved significantly in the last decade. Tricuspid regurgitation (TR) is a frequent heart valve disease and it is most often secondary, due to annular dilatation and leaflet tethering from right ventricular remodeling. The indications for TV surgery are several and mainly related to the underlying disease, to the severity of the regurgitation and to the right ventricular function. Moreover, surgical tricuspid repair has been avoided for years, because of the erroneous concept that TR should disappear once the primary pathology on the left heart has been resolved. Instead, during the last few years, many investigators have reported evidence in favor of a more aggressive surgical approach to functional TR, recognizing the risk of progressive tricuspid insufficiency in patients with annular dilatation and only moderate regurgitation (or less) at the time of surgery. This concept, along with the acute and long-term outcomes of tricuspid surgical repair techniques and tricuspid replacement are discussed in this review.


KEY WORDS: Tricuspid valve - Tricuspid valve insufficiency - Ventricular function, right - Surgical procedures, operative

inizio pagina