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TRICUSPID VALVE SURGERY, BULLET POINTS, In developed countries the, the most common, tricuspid pathology is regurgitation., Tricuspid regurgitation can be primary or, secondary origin., Secondary or functional tricuspid regurgitation is, the most frequent cause of tricuspid insufficiency., In symptomatic patients with isolated severe, tricuspid valve stenosis surgery is indicated., Concomitant to left sided valve surgery tricuspid, valve surgery is indicated in case of patients with, severe primary or secondary tricuspid, regurgitation., Surgery should be considered either in case of, moderate primary TR or in patients with mild to, moderate TR with dilated annulus(>40 mm) in case, of left sided valve operations., Tricuspid valve surgery can either be performed,

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On beating heart or with Cardioplegic arrest., INTRODUCTION, Tricuspid valve… forgotten valve., Severe TR can cause relevant symptoms and is, associated with decreased survival., In developed countries, the most common tricuspid, pathology is regurgitation., Tricuspid stenosis is rare., Tricuspid regurgitation can either be of primary or, secondary origin., The underlying cause of primary TR is leaflet, pathology and Ebstein’s anomaly., Secondary of functional TR is most frequent cause, of tricuspid insufficiency., Functional TR may be caused by annular dilation as, well as right ventricular enlargement and, dysfunction as a consequence of left sided heart, disease from valvular or myocardial cause

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In symptomatic patients with isolated severe, tricuspid valve stenosis, surgery is indicated., Regardless of the presence of symptoms, tricuspid, surgery is indicated in patients with severe TS, undergoing left sided valve intervention., In symptomatic patients with severe isolated, primary TR without severe right ventricular, dysfunction surgery is indicated., Surgery should be considered in asymptomatic or, mildly symptomatic patients with severe isolated, primary TR as well deterioration right ventricular, dysfunction., Concomitant to left sided valve surgery, tricuspid, valve surgery is indicated in case of patients with, severe primary or secondary TR., Surgery should be considered either in case of, moderate primary TR or in patients with mild to, moderate primary TR with dilated annulus (>40, mm or >21 mm/m2) in case of left sided, operations.

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The End....