Current Questions
Considering the information presented above, the following are meant to
be discussion points:
- Because TV annulus dilation as predictor of TR progression and
criteria to indicate concomitant surgery is, still nowadays,
controversial, is there a significant benefit of unrestricted
prophylactic TV intervention? Or a watch-and-wait strategy with
subsequent intervention, if necessary, could be a valuable alternative
in some subgroup of patients? What patients’ profile could benefit
from a more conservative strategy?
- Once one of the reasons to indicate concomitant TV repair is the
assumption that a future reoperation would be associated with high
surgical risk and poor outcomes, in a hypothetical scenario of TTVI
providing significant lower procedural mortality, should this argument
be reviewed?
- If the indication of tricuspid prophylactic intervention based on
annulus dilation is valid, should also TTVI be indicated in
symptomatic, high-risk patients, based in annular dilation (≥ 40mm)
rather than TR grade?