Concomitant Transcatheter Edge-to-Edge Treatment of Secondary Tricuspid and Mitral Regurgitation: An Expert Opinion

Antonio Sisinni, Maurizio Taramasso, Fabien Praz, Marco Metra, Eustachio Agricola, Alberto Margonato, Neil Fam, Rodrigo Estevez-Loureiro, Azeem Latib, David Messika-Zeitoun, Lenard Conradi, Ralph Stephan von Bardeleben, Paul Sorajja, Rebecca T. Hahn, Sergio Caravita, Francesco Maisano, Marianna Adamo, Cosmo Godino

Research output: Contribution to journalReview articlepeer-review

10 Scopus citations

Abstract

Secondary (functional) tricuspid regurgitation (sTR) is common in patients with mitral regurgitation (MR). Because combined valvular heart disease affects long-term survival, in comparison with isolated MR or tricuspid regurgitation, it is essential to offer patients adequate treatment. Despite considerable experience, no conclusive data are yet available on the prognostic impact of concomitant tricuspid valve surgery at the time of mitral valve surgery. Emerging transcatheter treatments offer the opportunity to treat both conditions (MR and sTR) simultaneously or in a stepwise fashion. This review provides a clinical overview on available data regarding the rationale for treatment of sTR in patients with relevant MR undergoing mitral transcatheter edge-to-edge repair, focusing on clinical and anatomical selection criteria.

Original languageEnglish (US)
Pages (from-to)127-139
Number of pages13
JournalJACC: Cardiovascular Interventions
Volume16
Issue number2
DOIs
StatePublished - Jan 23 2023

Keywords

  • concomitant treatment
  • mitral regurgitation
  • secondary tricuspid regurgitation
  • transcatheter mitral valve repair
  • tricuspid transcatheter edge-to-edge repair

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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