Discussion

Dr Niv Ad (Falls Church, Va). I think this article is one of the most important that was presented concerning structural heart disease conceptually, because it shows that there is more to tricuspid valve insufficiency secondary to DMR than just the size of the annulus. I think it will open vast information related to the physiology associated with tricuspid valve insufficiency that may reflect on our decision-making. That being said, maybe we should look into diastolic dysfunction, RV and right atrial strains, and understand better pulmonary hypertension, because the size is just a reflection of the pathophysiology, and the fact that you found that AF is so important is just showing us that there is some physiology joining the size itself.

Source: The Journal of Thoracic and Cardiovascular Surgery - January 13, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Niv Ad Source Type: research