The Price of Freedom from Tricuspid Regurgitation | NEJM - nejm.org

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Progressive tricuspid regurgitation is common, particularly in patients undergoing mitral-valve surgery. Severe tricuspid regurgitation decreases survival and quality of life due to right ventricular dysfunction, congestive hepatopathy, and renal failure. The tricuspid valve can easily be repaired during mitral-valve surgery, and consensus guidelines recommend concomitant repair of mild or moderate tricuspid regurgitation with annular dilatation of 4.0 cm or more.¹ However, these recommendations are based on mostly observational data, and controversy surrounds the most effective strategy, which contributes to wide variation in practice: concomitant tricuspid repair rates at cardiac surgery programs in the United States range from under 5% to . . .

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The Price of Freedom from Tricuspid Regurgitation | NEJM - nejm.org
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