Tricuspid Regurgitation
ASE 2017 Native Valve Regurgitation Guidelines

Primary leaflet abnormality

  • Acquired disease
    • Degenerative, myxomatous
    • Rheumatic
    • Endocarditis
    • Carcinoid
    • Endomyocardial fibrosis
    • Toxins
    • Trauma
    • Iatrogenic (pacing leads, RV biopsy)
    • Other (e.g., ischemic papillary muscle rupture)
  • Congenital Ebstein’s anomaly
    • TV dysplasia
    • TV tethering associated with perimembranous ventricular septal defect and ventricular septal aneurysm
    • Repaired tetralogy of Fallot
    • Congenitally corrected transposition of the great arteries
    • Other (giant right atrium)

Secondary (functional)

  • LV dysfunction or valve disease
  • RV dysfunction
    • RV ischemia
    • RV volume overload
    • RV cardiomyopathy
  • Pulmonary hypertension
    • Chronic lung disease
    • Pulmonary thromboembolism
    • Left-to-right shunt
  • Atrial fibrillation
ASE 2017 Native Valve Regurgitation

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