Conclusion
The comments in this document do not presume of answering the questions
presented above, but to introduce in debate new issues, in order to
stimulate a more in-depth discussion.
Tricuspid annular dilatation seems to play an important role as
predictor of early and late outcomes after left-sided surgery,
especially if other parameter such as leaflet coaptation and tethering
are also present. However, controversial data regarding the role of
prophylactic tricuspid valve repair concomitant with left-sided
intervention make this procedure not as widespread as it could be.
Nonetheless, with the advent of percutaneous tricuspid valve
interventions, it turned into an interesting alternative approach in
selected patients.
The decision-making process should be based on individual factors such
as patient desire, clinical symptoms, response to medical management,
quality of life, and life expectancy, as well as tricuspid valve
morphology, currently available devices and procedural risks.