Tricuspid Valvular Regurgitation.

Precision in diagnosis always precedes rational therapy. Categorizing tricuspid valvular regurgitation (TVR) as simply organic versus functional limits one's understanding of the complexity of the lesion, and may lead to inadequate therapy. Rather, treatment of TVR should begin with an assessment of the affected components of the tricuspid valve complex (TVC). From this assessment, one constructs an appropriate medical or surgical strategy that seeks to reduce symptoms, restore right heart function, and alter the course of the underlying disease process.