Dr Boris Orlov

Secondary Tricuspid Regurgitation
Conclusions
Secondary tricuspid regurgitation commonly occurs in combination
with left-sided valvular heart disease and will often not improve
despite correction of the left-sided valve dysfunction
Because tricuspid regurgitation occurring after prior mitral surgery
carries a poor prognosis, surgical repair of the tricuspid valve at the
time of mitral valve surgery is recommended for treating and
preventing secondary tricuspid regurgitation
Assessing the tricuspid valve annular dimensions must be a part of
all mitral valve operations, and annuloplasty strongly considered in
patients with tricuspid annular dilatation or moderate to severe
tricuspid regurgitation
Future randomized trials will determine whether there is a role for
prophylactic tricuspid valve repair in all patients undergoing mitral
valve surgery