Kardiologie up2date 2011; 7(4): 250-256
DOI: 10.1055/s-0030-1257038
Hotline – Herzklappenerkrankungen

© Georg Thieme Verlag KG Stuttgart · New York

Chirurgische Therapie der funktionellen Trikuspidalklappeninsuffizienz

Utz  Kappert, Dominik  Joskowiak, Konstantin  Alexiou, Ahmed  Ouda, Steffen  Schön, Sems-Malte  Tugtekin, Klaus  Matschke
Further Information

Publication History

Publication Date:
09 February 2012 (online)


Functional tricuspid regurgitation (TR) is a complex valvular lesion primarily arises from asymmetric dilatation of the tricuspid annulus in the setting of right ventricular dysfunction and enlargement in response to left-sided heart disease. The traditional view that functional TR generally resolves with surgical correction of the primary lesions is no longer hold. Concurrently, if untreated at the time of surgical mitral valve repair, significant residual TR negatively impacts perioperative outcomes, functional class and survival. Tricuspid ring annuplasty can be performed with minimal incremental morbidity and negligible mortality. Therefore, in addition to patients with severe regurgitation, annuplasty is now also recommended for patients with moderate TR or severe annular dilatation at the time of left-heart cardiac procedures. In combination with tricuspid ring annuplasty, the right ventricular reduction surgery as a novel adjunct procedure appears to be a promising strategy to avoid residual TR in this endangered patient population. In this article, we review the anatomy, pathophysiology, and value of surgical correction of TR, including the right ventricular reduction procedure.


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PD Dr. med. Utz Kappert

Herzzentrum Dresden GmbH Universitätsklinik
Klinik für Herzchirurgie

Fetscherstraße 76
01307 Dresden

Email: [email protected]