TRICUSPID VALVE DISEASE

MANAGEMENT
CLASS I
(1) Tricuspid valve repair is beneficial for severe TR in patients with MV disease requiring MV surgery.

CLASS IIa
(1) Tricuspid valve replacement or annuloplasty is reasonable for severe primary TR when symptomatic.

(2) Tricuspid valve replacement is reasonable for severe TR secondary to diseased/abnormal tricuspid valve leaflets not amenable to annuloplasty or repair.

CLASS IIb
(1) Tricuspid annuloplasty may be considered for less than severe TR in patients undergoing MV surgery when there is pulmonary hypertension or tricuspid annular dilatation.

CLASS III
(1) Tricuspid valve replacement or annuloplasty is not indicated in asymptomatic patients with TR whose pulmonary artery systolic pressure is less than 60 mm Hg in the presence of a normal MV.

(2) Tricuspid valve replacement or annuloplasty is not indicated in patients with mild primary TR.



JACC Vol. 52, No. 13, 2008
September 23, 2008: e1-142