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Tricuspid valve diseases: Interventions on the forgotten heart valve
Author(s) -
Yoganathan Anusha,
Khan Salman N. M.,
Khan Haariss,
Thirunavukarasu Shastri A.,
Elghanam Mohamed A.,
Harky Amer
Publication year - 2021
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.15159
Subject(s) - medicine , psychological intervention , intensive care medicine , tricuspid valve , intervention (counseling) , presentation (obstetrics) , disease , valve replacement , valvular heart disease , heart disease , heart valve , general surgery , surgery , cardiology , nursing , stenosis
Abstract Over the past few decades, the tricuspid valve (TV) interventions have been relatively lower compared to other cardiac valvular disease in terms of pathophysiology and management, especially regarding surgical intervention and therapy. However, recent crucial advances in assessment and management of the TV disease have resulted in a renewed interest in the “forgotten valve.” The medical treatment aims to cure the underlying disease and address the presentation of the right heart failure. Surgical interventions have proven to yield good outcomes for those for whom surgery is indicated. For those who are not suitable for surgery, transcatheter surgery may prove to be a suitable replacement. Best practice with regard to surgical techniques is still in question due to limited data. This has been slowing the introduction of transcatheter interventions into common practical guidelines. The aim of this literature review is to discuss new insights on the pathophysiology, diagnosis, and interventions of TV disease, highlighting the surgical management and emerging transcatheter therapies. In addition, this review will provide an overview of the current state of the literature surrounding TV interventions and providing suggestions for future directives.