Isolated tricuspid regurgitation: A plea for early correction

Isolated tricuspid regurgitation (TR) is gaining increasing recognition. Left untreated, isolated TR significantly worsens survival. Management of patients with severe isolated TR remains controversial and stand-alone surgery is rarely performed due to reported high in-hospital mortality. However, recent data has underlined how early referral and surgical correction result in excellent both short-and long-term results, with no in-hospital mortality, 100% 5-year survival and no further hospitalizations for right heart failure. These results should prompt a drastic change in attitude in the treatment, management and referral of patients with severe isolated TR, especially since surgery remains the only effective therapy.