From a cardiology perspective, it is important to understand the causes of tricuspid regurgitation (TR) more thoroughly. Tricuspid valve repair is suitable for primary valvular defects, such as Ebstein anomaly, rheumatic disease, or endocarditis. However, in cases of secondary TR caused by left-sided heart failure, repair may worsen the …
From a cardiology perspective, it is important to understand the causes of tricuspid regurgitation (TR) more thoroughly. Tricuspid valve repair is suitable for primary valvular defects, such as Ebstein anomaly, rheumatic disease, or endocarditis. However, in cases of secondary TR caused by left-sided heart failure, repair may worsen the underlying condition and lead to further pulmonary congestion. Therefore, I strongly recommend optimizing medical therapy for left-sided heart failure as the first approach. If mitral regurgitation continues to be difficult to manage, transcatheter edge-to-edge repair of the mitral valve should be considered, provided the patient can tolerate the procedure. The hemodynamic benefits of this procedure often eliminate the need for concurrent tricuspid interventions. Essentially, this approach, guided by the underlying pathophysiology, helps minimize unnecessary tricuspid valve procedures while effectively addressing the primary causes of secondary TR.
From a cardiology perspective, it is important to understand the causes of tricuspid regurgitation (TR) more thoroughly. Tricuspid valve repair is suitable for primary valvular defects, such as Ebstein anomaly, rheumatic disease, or endocarditis. However, in cases of secondary TR caused by left-sided heart failure, repair may worsen the underlying condition and lead to further pulmonary congestion. Therefore, I strongly recommend optimizing medical therapy for left-sided heart failure as the first approach. If mitral regurgitation continues to be difficult to manage, transcatheter edge-to-edge repair of the mitral valve should be considered, provided the patient can tolerate the procedure. The hemodynamic benefits of this procedure often eliminate the need for concurrent tricuspid interventions. Essentially, this approach, guided by the underlying pathophysiology, helps minimize unnecessary tricuspid valve procedures while effectively addressing the primary causes of secondary TR.