Tricuspid Valve Disease

Guest: Juan A. Crestanello, M.D.

Host: Malcolm R. Bell, M.D.

Joining us today to discuss tricuspid valve disease is Juan A. Crestanello, M.D., professor of surgery and chair of cardiovascular surgery at Mayo Clinic in Rochester, Minnesota. Tune in to learn more about the surgical approach to tricuspid valve regurgitation.

Specific topics discussed:

What are the most common types of tricuspid valve disease?
What types of tricuspid valve disease are treated with surgery?
When is it time to intervene?
There has been significant controversy regarding what to do with tricuspid regurgitation at the time of left sided valve surgery: what do we do at Mayo with patients who had mild, moderate, or severe tricuspid regurgitation at the time of mitral valve surgery?
Do you do tricuspid valve surgery with less than moderate tricuspid regurgitation and annular dilatation?
Are there any differences in outcomes between tricuspid valve repair vs replacement? Any benefit of mechanical valves?
What about tricuspid valve surgery in carcinoid heart disease?
How pacing leads affect the function of the tricuspid valve? How often do you see tricuspid valve disease related to pacing leads?

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Podcast episode transcript found here.