To Fix or Not to Fix? That is the Question.

@article{Zehr2016ToFO,
  title={To Fix or Not to Fix? That is the Question.},
  author={Kenton J. Zehr},
  journal={Seminars in thoracic and cardiovascular surgery},
  year={2016},
  volume={28 1},
  pages={
          46-7
        }
}
  • K. Zehr
  • Published 1 March 2016
  • Medicine
  • Seminars in thoracic and cardiovascular surgery
Eventually, the algorithm for when to intervene on the tricuspid valve during left sided valve surgery will be more robust. Better discriminatory preoperative data will be required to sort the role of annular size, right ventricular function, and pulmonary artery pressures. As for now, there is a paucity of evidence that an aggressive approach to fixing moderate functional TR during left sided valve surgery improves clinical outcomes. 

References

SHOWING 1-6 OF 6 REFERENCES
Should Moderate-to-Severe Tricuspid Regurgitation be Repaired During Reoperative Left-Sided Valve Procedures?
TLDR
There was a trend towards increased TR at follow-up in patients with valve repair alone vs annuloplasty, and matched case-control analyses showed TVI was associated with improved midterm outcomes.