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Archives of cardiovascular diseases
Volume 112, n° 10
pages 642-651 (octobre 2019)
Doi : 10.1016/j.acvd.2019.04.010
Received : 6 Mars 2019 ;  accepted : 30 April 2019

Secondary tricuspid regurgitation: Do we understand what we would like to treat?
Régurgitation tricuspide secondaire : comprenons-nous ce que nous voudrions traiter ?

Anne Guérin a, Julien Dreyfus b, Thierry Le Tourneau c, Catherine Sportouch d, Olivier Lairez e, Jean-Christophe Eicher f, Erwan Flécher a, Patricia Réant g, Erwan Donal a,
a University of Rennes, CHU de Rennes, Inserm, LTSI, UMR 1099, 35000 Rennes, France 
b Department of Cardiology, Centre Cardiologique du Nord, 93200 Saint-Denis, France 
c L’Institut du Thorax, Inserm UMR 1087, CNRS, CHU Nantes, Université de Nantes, 44007 Nantes, France 
d Clinique du Millénaire, 34960 Montpellier, France 
e Department of Cardiology, Rangueil University Hospital, 31400 Toulouse, France 
f Department of Cardiology, CHU François-Mitterrand, 21000 Dijon, France 
g Department of Cardiology, CHU de Bordeaux, 33000 Bordeaux, France 

Corresponding author. Service de Cardiologie, Hôpital Pontchaillou, CHU de Rennes, 35033 Rennes, France.Service de Cardiologie, Hôpital Pontchaillou, CHU de RennesRennes35033France

Tricuspid regurgitation has long been a neglected and underestimated entity; its prevalence is significant, and is increasing with the ageing population. Tricuspid regurgitation is often a consequence of chronic left cardiac pathologies or atrial fibrillation. Surgical treatment is recommended for patients with severe symptomatic tricuspid regurgitation or tricuspid annulus dilatation at the time of left heart valve surgery. Secondary tricuspid regurgitation is a complex disease; this review focuses on the need for better understanding of its mechanisms and quantification – mandatory with the advent of new percutaneous treatments.

The full text of this article is available in PDF format.

L’insuffisance tricuspide a été longtemps négligée. Sa prévalence est importante et augmente avec le vieillissement de la population. C’est souvent la conséquence d’une pathologie chronique du cœur gauche ou d’une fibrillation atriale. Le traitement chirurgical est recommandé pour les patients ayant une régurgitation sévère et symptomatique ou lorsque l’anneau tricuspide est dilaté au moment d’une chirurgie du cœur gauche. L’insuffisance tricuspide secondaire est une entité complexe. Cette revue est orientée sur les besoins d’une meilleure compréhension de ses mécanismes et de sa quantification avec l’avènement de nouveaux traitements percutanés.

The full text of this article is available in PDF format.

Keywords : Tricuspid regurgitation, Quantification, Pathophysiology, Treatment

Mots clés : Insuffisance tricuspide, Quantification, Pathophysiologie, Traitement

Abbreviations : 2D, 3D, EROA, PISA, RA, RV, STR, TA, TR, TV, VC

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