Cochran and Verrier developed an algorithm for management of a patient with tricuspid valve disease. The authors are from the Universities of Wisconsin and Washington (Seattle).
Parameters:
(1) Is the tricuspid valve dysfunction secondary to mitral valve disease?
(2) Does the patient have endocarditis involving the tricuspid valve?
(3) Can the tricuspid valve be repaired?
Management options:
(1) no treatment of tricuspid valve
(2) repair valve, which may include a localized excision of a vegetation
(3) replace valve
Secondary to Mitral Valve Disease
Endocarditis Present?
Reparable?
Management
Y
N
NA
no treatment of tricuspid valve
Y
Y
Y
repair valve
Y
Y
N
replace valve
N
N
Y
repair valve
N
N
N
replace valve
N
Y
Y
repair valve
N
Y
N
replace valve
To read more or access our algorithms and calculators, please log in or register.
