Treatment FAQ

what is the treatment for tricuspid regurgitation

by Ed Corkery Published 2 years ago Updated 2 years ago
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Medication

Tricuspid valve regurgitation happens when the tricuspid valve in your heart doesn't seal shut entirely. This allows blood to flow backward, and the more backward blood flow, the more severe it is. Over time, this can change the structure or shape of your heart and lead to permanent heart damage and a variety of other problems.

Procedures

Surgical valve repair or valve replacement usually corrects the condition. Those with untreated, severe tricuspid regurgitation may face a poor prognosis, either from the valve disease itself or because of the complications from the underlying condition causing the valve problem. Play without Auto-Play.

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What is life expectancy after mitral valve repair? Median survival after MV ‐repair was 7.8 years, close to 8.5 years (95% CI : 8.2–9.4) in the age‐matched UK population (ratio 0.9). Rate of re‐operation for MV ‐dysfunction was 2.3% versus 2.5% (mitral valve replacement, P’=’1.0).

How serious is tricuspid regurgitation?

Tricuspid regurgitation (TR) occurs when the tricuspid valve in your heart doesn't close all the way, allowing blood to flow backwards within the heart. This may cause shortness of breath, swelling in the abdomen, legs, and/or veins in your neck, and can lead to heart failure, if left untreated.

Does tricuspid regurgitation go away?

What is life expectancy after mitral valve repair?

What you should know about tricuspid regurgitation?

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Overview

Tricuspid valve regurgitation happens when the tricuspid valve in your heart doesn't seal shut entirely. This allows blood to flow backward, and the more backward blood flow, the more severe it is. Over time, this can change the structure or shape of your heart and lead to permanent heart damage and a variety of other problems.

Symptoms and Causes

Symptoms of tricuspid regurgitation might not stand out when another condition or disease is the real problem. It’s also common for there to be no symptoms with trace and mild tricuspid regurgitation.

Diagnosis and Tests

Several tests can help diagnose tricuspid regurgitation, either on its own or in connection with another disease or condition. Your primary care provider or a cardiology specialist may do one or more of the following:

Management and Treatment

It’s sometimes possible to cure tricuspid regurgitation, depending on how severe the case is and what caused it. Repairing or replacing the valve is the most common solution. When another disease (especially heart conditions) is the cause, treating the main disease may stop the regurgitation.

Prevention

For the most part, the only way to prevent tricuspid regurgitation is to treat bacterial infections quickly and effectively. Rheumatic fever and its impacts on your heart are almost always preventable with antibiotic treatment.

What causes tricuspid valve to stop working?

Tricuspid valve regurgitation is usually caused by the lower right heart chamber (right ventricle) increasing in size , which can cause the tricuspid valve to stop working properly.

Why does the tricuspid valve flap close?

Then the flaps close to prevent the blood that has just passed into the right ventricle from flowing backward. In tricuspid valve regurgitation, the tricuspid valve doesn't close tightly. This causes the blood to flow back into the right atrium during each heartbeat.

Can a pacemaker cause a tricuspid valve to be damaged?

Pacemaker or implantable cardioverter-defibrillator wires can sometimes cause injury to the tricuspid valve during placement or removal of the implantable device. Endomyocardial biopsy. In an endomyocardial biopsy, a small amount of heart muscle tissue is removed and tested for signs of inflammation or infection.

Can tricuspid valve regurgitation cause heart failure?

Severe tricuspid valve regurgitation can result in right-sided heart failure. If you have signs or symptoms of right-sided heart failure — such as feeling easily fatigued or short of breath, even with normal activity — see your doctor. Your doctor may refer you to a doctor trained in heart conditions (cardiologist).

Can a car accident cause tricuspid valve regurgitation?

Experiencing trauma to your chest, such as in a car accident, can lead to tricuspid valve regurgitation. Rheumatic fever. Rheumatic fever is a complication of untreated strep throat that can damage heart valves, including the tricuspid valve, leading to tricuspid valve regurgitation later in life.

What happens if you have tricuspid regurgitation?

If someone is suffering from severe tricuspid regurgitation, they will likely experience symptoms that will require specific treatment. It helps to understand exactly how the heart works to fully comprehend what tricuspid regurgitation is.

How to tell if tricuspid valve is regurgitated?

In some cases, people are diagnosed with the condition when they are undergoing tests for other health complaints. Here are some symptoms of tricuspid valve regurgitation when the condition does progress to a more severe stage: Fatigue. Swelling in abdomen, legs, or veins in the neck. Pulsing in the neck.

What causes a tricuspid valve to be damaged?

Infections such as infective endocarditis or rheumatic fever. Heart attack, which can damage the heart, but also affect the right ventricle and functioning of the tricuspid valve. Chronic high blood pressure, especially hypertension that is not well managed.

What is the condition that can injure the tricuspid valve?

Pulmonic stenosis: Obstruction of blood flow from the right ventricle to the pulmonary artery. Infection: Can injure the tricuspid valve. This happens most often with infective endocarditis.

What is the rare condition where the valve sits lower than normal in the right ventricle and the valve’s

Ebstein’s anomaly : A rare condition where the valve sits lower than normal in the right ventricle and the valve’s leaflets form abnormally. Carcinoid syndrome: A rare condition that causes tumors to form in the digestive system and spread to the liver or lymph nodes.

How do surgeons repair valves?

Surgeons can perform a valve repair by separating valve leaflets, closing holes in leaflets, or reshaping valve leaflets so that they can make contact with each other and prevent blood from flowing backward.

Can heart disease cause tricuspid valve damage?

Medication use, including some that treat Parkinson’s disease and migraines. Radiation, particularly to the chest has the potential to damage the tricuspid valve.

Lifestyle

Lifestyle changes, such as reducing salt intake, limiting alcohol, quitting smoking or losing weight, may be used to help limit heart failure symptoms. Your doctor will continue to monitor the progression of your condition.

Medications

Medications may be prescribed to reduce blood pressure (e.g., beta blockers, diuretics, ACE inhibitors) or to manage heart failure; occasionally, antibiotics are given to reduce infection risk before dental or medical procedures; after valve replacement, blood thinners are prescribed to prevent stroke.

Surgery & Other Procedures

For those with moderate to severe symptoms of regurgitation—or with risk of heart failure—the valve is often repaired. When the valve needs to be replaced, this is done using a mechanical or tissue (from pig, cow, or human donor) valve. Surgical therapies include:

What is the Mayo Clinic tricuspid valve?

With state-of-the-art research and laboratory facilities, Mayo Clinic tricuspid valve experts use advanced technology and sophisticated imaging tests to accurately diagnose valve conditions. They work together to determine the cause of your symptoms and to determine the most appropriate treatment for you.

What causes thickening of the tricuspid valve?

Carcinoid heart disease. Mayo Clinic doctors are experts in evaluating and treating carcinoid heart disease — a rare condition that causes thickening of the tricuspid valve. Heart device leads. Tricuspid valve regurgitation sometimes occurs due to pacemaker and defibrillator wires, which cross the tricuspid valve.

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Diagnosis

Treatment

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Coping and Support

Medically reviewed by
Dr. Kabir Sethi
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment depends on the severity of the condition. Milder cases may not require treatment, but monitored frequently.
Medication

Diuretics: To prevent water retention.

Chlorothiazide . Bumetanide . Amiloride

Procedures

Heart valve repair: To restructure the heart valve.

Annuloplasty: Insert metal ring to support valve.

Tricuspid valve replacement: Damaged valve is replaced with metal valve.

Specialist to consult

Cardiologist
Specializes in the diagnosis and management heart related disorders.
Cardiovascular surgeon
Specializes in surgery on the heart and great vessels.
Pediatric cardiologist
Specializes in diagnosing and treating children's cardiac problems.

Preparing For Your Appointment

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Tricuspid valve regurgitation can occur silently. In children, the condition may not be diagnosed until adulthood. Tricuspid valve regurgitation may be discovered when imaging tests of the heart are done for other reasons.
See more on mayoclinic.org

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