Tricuspid regurgitation diagnosis and treatment

被引：143

作者：

Arsalan, Mani ^{[1
,2
,3
]}

Walther, Thomas ^{[1
]}

Smith, Robert L., II ^{[1
,2
,3
]}

Grayburn, Paul A. ^{[1
,2
,3
]}

机构：

[1] Kerckhoff Clin, Bad Nauheim, Germany

[2] Heart Hosp Baylor Plano, 621 N Hall St,Suite H030, Dallas, TX 75226 USA

[3] Baylor Univ, Med Ctr, 621 N Hall St,Suite H030, Dallas, TX 75226 USA

来源：

EUROPEAN HEART JOURNAL | 2017年 / 38卷 / 09期

关键词：

Tricuspid regurgitation; Cardiac surgery; Valvular heart disease; VALVE SURGERY; ECHOCARDIOGRAPHIC-ASSESSMENT; REAL-TIME; VALVULAR REGURGITATION; EUROPEAN ASSOCIATION; ANNULOPLASTY; HEART; REPAIR; MANAGEMENT; IMPACT;

D O I：

10.1093/eurheartj/ehv487

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Tricuspid regurgitation (TR) is the most common lesion of the tricuspid valve (TV). Mild TR is common and usually is benign. However, moderate or severe TR can lead to irreversible myocardial damage and adverse outcomes. Despite these findings, few patients with significant TR undergo surgery. The treatment of functional (secondary) TR in particular remains controversial because of high rates of residual or recurrent TR and poor outcomes following surgical intervention. Traditional teaching that functional TR resolves on its own if the underlying disease is successfully treated has proven to be incorrect. This review aims to clarify management of TR by describing the anatomy, pathophysiology, diagnosis, and treatment of TR, including the eventual possibility of percutaneous TV therapy.

引用

页码：634 / +

页数：7

共 49 条

[1]

[Anonymous], CIRCULATION S

[2]

[Anonymous], EUR J CARDIOTHORAC S

[3] Evaluation of the tricuspid valve morphology and function by transthoracic real-time three-dimensional echocardiography [J].