IMR Press / RCM / Volume 24 / Issue 5 / DOI: 10.31083/j.rcm2405129
Open Access Review
2022 CMICS Expert Consensus on the Management of Isolated Tricuspid Regurgitation after Left-Sided Valve Surgery
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1 Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, 200032 Shanghai, China
2 Department of Cardiovascular Surgery, Fuwai Central China Cardiovascular Hospital, 451464 Zhengzhou, Henan, China
3 Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022 Wuhan, Hubei, China
4 Department of Echocardiography, Zhongshan Hospital, Fudan University, 200032 Shanghai, China
5 Department of Cardiovascular Surgery, Guangdong Provincial People's Hospital, Guangdong Provincial Cardiovascular Institute, 510080 Guangzhou, Guangdong, China
6 Department of Cardiovascular Surgery, West China Hospital, Sichuan University, 610041 Chengdu, Sichuan, China
7 Department of Cardiovascular Surgery, Chinese PLA General Hospital, 100853 Beijing, China
8 Department of Cardiovascular Surgery, Changhai Hospital, Naval Medical University, 200433 Shanghai, China
9 Department of Cardiovascular Surgery, Zhongnan Hospital, Wuhan University, 430071 Wuhan, Hubei, China
10 Department of Cardiovascular Surgery, The Second Xiangya Hospital of Central South University, 410011 Changsha, Hunan, China
11 Department of Cardiothoracic Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 200092 Shanghai, China
12 Department of Cardiovascular Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, 310003 Hangzhou, Zhejiang, China
13 Department of Cardiovascular Surgery, The First Affiliated Hospital of Zhengzhou University, 450052 Zhengzhou, Henan, China
14 Department of Cardiovascular Surgery, Shanghai Deltaheath Hospital, 201702 Shanghai, China
15 Cardiac Intensive Care Center, Zhongshan Hospital, Fudan University, 200032 Shanghai, China
16 Department of Cardiovascular Surgery, Wuhan Asia Heart Hospital, 430022 Wuhan, Hubei, China
17 Department of Cardiothoracic and Vascular Surgery, Nanjing Drum Tower Hospital, Nanjing University, 210008 Nanjing, Jiangsu, China
18 Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, 110016 Shenyang, Liaoning, China
19 Division of Cardiovascular Surgery, The University of Hong Kong-Shenzhen Hospital, 518000 Shenzhen, Guangdong, China
20 Division of Cardiothoracic Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, 999077 Hong Kong, China
21 Department of Cardiovascular Surgery, The Second Affiliated Hospital of Nanchang University, 330006 Nanchang, Jiangxi, China
22 Department of Cardiovascular Surgery, Renji Hospital, Shanghai Jiaotong University School of Medicine, 200127 Shanghai, China
23 Department of Cardiovascular Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 100037 Beijing, China
*Correspondence: wei.lai@zs-hospital.sh.cn (Lai Wei); wang.chunsheng@zs-hospital.sh.cn (Chunsheng Wang)
§CMICS: The Chinese Minimally Invasive Cardiovascular Surgery Committee.
Rev. Cardiovasc. Med. 2023, 24(5), 129; https://doi.org/10.31083/j.rcm2405129
Submitted: 27 December 2022 | Revised: 6 April 2023 | Accepted: 10 April 2023 | Published: 26 April 2023
Copyright: © 2023 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Tricuspid regurgitation (TR) may occur late after left-sided valve surgery (LSVS). Isolated tricuspid regurgitation after left-sided valve surgery (iTR-LSVS) refers to isolated TR without significant lesions in the mitral and/or aortic position late after mitral and/or aortic replacement or repair. Severe TR has a negative impact on long-term prognosis and requires surgical or transcatheter treatment. However, there is no clear recommendation on when and how intervention should be performed for patients with iTR-LSVS in the current guidelines for the management of valvular heart disease. The historically high operative mortality may be reduced by current minimally invasive techniques and transcatheter therapy. To further understand iTR-LSVS, standardize the treatment, improve the prognosis, and promote the collaboration, the Chinese Minimally Invasive Cardiovascular Surgery Committee (CMICS) wrote this expert consensus on the management of iTR-LSVS from the aspects of etiology, preoperative evaluation, indications for intervention, surgical treatment, transcatheter therapy, and postoperative management.

Keywords
tricuspid regurgitation
left-sided valve surgery
surgical treatment
transcatheter therapy
intervention timing
expert consensus
Funding
20224Y0286/Clinical Research Fund of Shanghai Municipal Health Commission
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