Contemporary Reviews in Interventional Cardiology Interventional Cardiology Perspective of Functional

A vast unmet need exists for tricuspid valve (TV) repairfor functional tricuspid regurgitation (FTR) among pa-tients undergoing left heart valve surgery. The FTR is a dynamic entity that is governed by several pathophysiologic mechanisms like TV annular dilatation, annular shape, pul-monary hypertension, left or right ventricle dysfunction, right ventricle geometry, and leaflet tethering. Treatment options for FTR are primarily surgical. No clear medical management exists for treatment of FTR. Several studies have demon-strated improvement in functional status along with tricuspid regurgitation grades among individuals undergoing concom-itant TV repair as compared with those undergoing only left heart valve surgery, although data on mortality benefits are equivocal. Percutaneous TV technology may be initially useful for patients with FTR who are at high risk for open-heart surgery. Once the other percutaneous technologie