Functional Tricuspid Regurgitation: Introduction
Functional or secondary tricuspid regurgitation typically refers to tricuspid regurgitation occurring secondary to left-sided heart disease, or pulmonary hypertensive disease, in the absence of organic lesions of the tricuspid valve. Until recently, “surgical abstention” has been the norm in dealing with functional tricuspid regurgitation, with the assumption that tricuspid regurgitation should resolve once the primary cause (typically mitral stenosis or regurgitation) is eliminated. This historical conservative approach to tricuspid regurgitation continues to tailor surgical practice to the present day, and tricuspid valve annuloplasty remains an infrequent operation in most surgical practices. Increasingly, however, there are reports in the literature supporting a more aggressive rol…
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