Russo Marco, Cammardella Antonio Giovanni, Loreni Francesco, Irace Francesco, Santoro Grazia, Lodo Vittoria, Matteucci Matteo, Buttiglione Gianpiero, Francica Alessandra, Di Mauro Michele, Pollari Francesco, Ranocchi Federico, Barili Fabio, Parolari Alessandro, Musumeci Francesco
U.O.C. Cardiochirurgia e Trapianto di Cuore, Azienda Ospedaliera San Camillo Forlanini, Roma.
U.O.C. Cardiochirurgia, Università Policlinico Campus Bio-Medico, Roma.
G Ital Cardiol (Rome). 2024 Aug;25(8):590-597. doi: 10.1714/4309.42928.
The tricuspid valve, long neglected as a passive structure and often termed the "forgotten valve", has recently gained attention from the international medical and cardiological community due to the association of tricuspid regurgitation with an unfavorable prognosis. Isolated tricuspid regurgitation represents a relatively unknown and variable condition, closely linked to the shape and function of the right ventricle and the state of the pulmonary circulation. Currently, guidelines are not clear regarding the optimal treatment strategy, the process of patient selection, and the surgical or transcatheter procedural timing, nor for predicting patient outcomes. Surgical procedures specifically aimed at correcting isolated tricuspid regurgitation, without other concomitant indications for open-heart surgery, have been considered complex and risky, with a high rate of postoperative complications and a poorly understood impact on patient survival and life expectancy. In this review, we will attempt to examine tricuspid valve pathology by analyzing preoperative assessment, essential for risk stratification, various surgical techniques, and outcomes.
三尖瓣长期以来被视为一个被动结构而受到忽视，常被称为“被遗忘的瓣膜”，最近由于三尖瓣反流与不良预后相关，已引起国际医学和心脏病学界的关注。孤立性三尖瓣反流是一种相对鲜为人知且情况多变的病症，与右心室的形态和功能以及肺循环状态密切相关。目前，关于最佳治疗策略、患者选择过程、手术或经导管操作时机，以及预测患者预后等方面，指南并不明确。专门针对纠正孤立性三尖瓣反流而进行的手术，在没有其他同期心脏直视手术指征的情况下，被认为复杂且风险高，术后并发症发生率高，对患者生存和预期寿命的影响也了解甚少。在本综述中，我们将试图通过分析术前评估（这对风险分层至关重要）、各种手术技术及结果来研究三尖瓣病变。
