Wang Peihe, Huang Yu, Sun Lu, Han Zhen
Department of Cardiovascular Surgery, Peking University Shenzhen Hospital, 518000 Shenzhen, Guangdong, China.
Shenzhen Clinical Institute of Shantou University Medical College, 518000 Shenzhen, Guangdong, China.
Rev Cardiovasc Med. 2024 May 21;25(5):182. doi: 10.31083/j.rcm2505182. eCollection 2024 May.
Functional tricuspid regurgitation (FTR) is a common type of tricuspid regurgitation (TR), particularly in cases of left heart valve disease. Historically, cardiac surgeons have not placed much emphasis on FTR and instead focused primarily on managing left heart valve disease. However, as research has progressed, it has become evident that severe TR significantly impacts the prognosis of heart valve surgery. Furthermore, significant improvements in postoperative cardiac function and quality of life have been observed when addressing the tricuspid valve alongside left heart disease management. This article aims to review current approaches for and timing of the surgical management of FTR while also analyzing the limitations of existing tricuspid surgical strategies.
功能性三尖瓣反流（FTR）是三尖瓣反流（TR）的一种常见类型，特别是在左心瓣膜病的病例中。从历史上看，心脏外科医生对FTR的重视程度不高，而是主要专注于处理左心瓣膜病。然而，随着研究的进展，很明显严重的TR会显著影响心脏瓣膜手术的预后。此外，在处理左心疾病的同时处理三尖瓣时，术后心脏功能和生活质量有了显著改善。本文旨在综述FTR外科治疗的当前方法和时机，同时分析现有三尖瓣手术策略的局限性。
