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How would you treat organic tricuspid regurgitation ?

How would you treat organic tricuspid regurgitation ? 

Surgically, by valve plication or annuloplasty, or valve replacement. 

J.M.R. Carvallo, Mexican cardiologist who worked in Mexico City (Rivero-Carvallo JM 1946 Signo para el diagnostico de las insuficiencias tricuspideas. Arch Inst Cardiol Mex 16: 531).

What are the causes of tricuspid regurgitation ?

What are the causes of tricuspid regurgitation ? 

• Functional: pulmonary hypertension, congestive cardiac failure.

 • Rheumatic (associated with mitral and/or aortic valve disease).

• Right heart endocarditis as in drug addicts.

• Uncommon causes: carcinoid syndrome, Ebstein's anomaly, endomyocardial fibrosis, infarction of right ventricular papillary muscles, tricuspid valve prolapse, blunt trauma to the heart.

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