Reviews in Cardiovascular Medicine (Apr 2023)
2022 CMICS Expert Consensus on the Management of Isolated Tricuspid Regurgitation after Left-Sided Valve Surgery
- Jinmiao Chen,
- Zhaoyun Cheng,
- Nianguo Dong,
- Lili Dong,
- Huiming Guo,
- Yingqiang Guo,
- Huanlei Huang,
- Shengli Jiang,
- Fanglin Lu,
- Fei Li,
- Jinping Liu,
- Liming Liu,
- Xin Li,
- Ju Mei,
- Liang Ma,
- Chenhui Qiao,
- Lizhong Sun,
- Guowei Tu,
- Liang Tao,
- Dongjin Wang,
- Huishan Wang,
- Minxin Wei,
- Song Wan,
- Jianjun Xu,
- Song Xue,
- Zhe Zheng,
- Lai Wei,
- Chunsheng Wang,
- on behalf of CMICS
Affiliations
- Jinmiao Chen
- Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, 200032 Shanghai, China
- Zhaoyun Cheng
- Department of Cardiovascular Surgery, Fuwai Central China Cardiovascular Hospital, 451464 Zhengzhou, Henan, China
- Nianguo Dong
- Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022 Wuhan, Hubei, China
- Lili Dong
- Department of Echocardiography, Zhongshan Hospital, Fudan University, 200032 Shanghai, China
- Huiming Guo
- Department of Cardiovascular Surgery, Guangdong Provincial People's Hospital, Guangdong Provincial Cardiovascular Institute, 510080 Guangzhou, Guangdong, China
- Yingqiang Guo
- Department of Cardiovascular Surgery, West China Hospital, Sichuan University, 610041 Chengdu, Sichuan, China
- Huanlei Huang
- Department of Cardiovascular Surgery, Guangdong Provincial People's Hospital, Guangdong Provincial Cardiovascular Institute, 510080 Guangzhou, Guangdong, China
- Shengli Jiang
- Department of Cardiovascular Surgery, Chinese PLA General Hospital, 100853 Beijing, China
- Fanglin Lu
- Department of Cardiovascular Surgery, Changhai Hospital, Naval Medical University, 200433 Shanghai, China
- Fei Li
- Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022 Wuhan, Hubei, China
- Jinping Liu
- Department of Cardiovascular Surgery, Zhongnan Hospital, Wuhan University, 430071 Wuhan, Hubei, China
- Liming Liu
- Department of Cardiovascular Surgery, The Second Xiangya Hospital of Central South University, 410011 Changsha, Hunan, China
- Xin Li
- Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, 200032 Shanghai, China
- Ju Mei
- Department of Cardiothoracic Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, 200092 Shanghai, China
- Liang Ma
- Department of Cardiovascular Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, 310003 Hangzhou, Zhejiang, China
- Chenhui Qiao
- Department of Cardiovascular Surgery, The First Affiliated Hospital of Zhengzhou University, 450052 Zhengzhou, Henan, China
- Lizhong Sun
- Department of Cardiovascular Surgery, Shanghai Deltaheath Hospital, 201702 Shanghai, China
- Guowei Tu
- Cardiac Intensive Care Center, Zhongshan Hospital, Fudan University, 200032 Shanghai, China
- Liang Tao
- Department of Cardiovascular Surgery, Wuhan Asia Heart Hospital, 430022 Wuhan, Hubei, China
- Dongjin Wang
- Department of Cardiothoracic and Vascular Surgery, Nanjing Drum Tower Hospital, Nanjing University, 210008 Nanjing, Jiangsu, China
- Huishan Wang
- Department of Cardiovascular Surgery, General Hospital of Northern Theater Command, 110016 Shenyang, Liaoning, China
- Minxin Wei
- Division of Cardiovascular Surgery, The University of Hong Kong-Shenzhen Hospital, 518000 Shenzhen, Guangdong, China
- Song Wan
- Division of Cardiothoracic Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, 999077 Hong Kong, China
- Jianjun Xu
- Department of Cardiovascular Surgery, The Second Affiliated Hospital of Nanchang University, 330006 Nanchang, Jiangxi, China
- Song Xue
- Department of Cardiovascular Surgery, Renji Hospital, Shanghai Jiaotong University School of Medicine, 200127 Shanghai, China
- Zhe Zheng
- Department of Cardiovascular Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 100037 Beijing, China
- Lai Wei
- Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, 200032 Shanghai, China
- Chunsheng Wang
- Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, 200032 Shanghai, China
- on behalf of CMICS
- DOI
- https://doi.org/10.31083/j.rcm2405129
- Journal volume & issue
-
Vol. 24,
no. 5
p. 129
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
