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Tricuspid Regurgitation

Incomplete closure of the right heart valve raises venous pressure, causing leg swelling and liver enlargement.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kardiyoloji department. Book Appointment →

What is Tricuspid Regurgitation?

Tricuspid regurgitation is a valve disease in which the tricuspid valve — between the right atrium and right ventricle — does not close completely, causing blood to flow back into the right atrium.

Most cases are functional (secondary), arising from right ventricular dilation secondary to left heart disease, pulmonary hypertension, or right heart failure. Rheumatic disease, infective endocarditis, and pacemaker leads can cause primary tricuspid regurgitation.

Elevated venous pressure leads to fluid accumulation in the systemic circulation. Mild cases generally require follow-up; in severe cases, surgical repair or replacement is considered.

Symptoms

Swelling in the legs and abdomen (edema and ascites)
Fatigue and exercise intolerance
Liver enlargement and right upper abdominal pain
Distended neck veins
Palpitations and atrial fibrillation
Loss of appetite and indigestion

Risk Factors

Left heart failure and mitral valve disease
Pulmonary hypertension
Infective endocarditis (especially in intravenous drug users)
Rheumatic fever
Carcinoid tumor

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When increasing leg swelling or abdominal distension is noticed
  • If symptoms worsen in someone with known heart disease
  • When jaundice or liver enlargement is noted
  • For cardiology evaluation with echocardiography and valve assessment

Treatment Methods

01
Treatment of the underlying cause (left heart disease, pulmonary hypertension)
02
Diuretics to reduce fluid overload
03
Tricuspid annuloplasty (valve repair — the preferred approach)
04
Valve replacement (when repair is not feasible)
05
Transcatheter tricuspid interventions (in high-risk elderly patients)

Which Department to Visit?

You can visit our Kardiyoloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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You can make an appointment with our specialists or contact us for your concerns.

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Palpitations are usually due to benign causes, but underlying cardiac rhythm disorders must be ruled out.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.