More than 1.6 million Americans have at least moderate to severe
tricuspid regurgitation, yet fewer than 8000 tricuspid valve operations
are performed annually in the USA.The under-treatment for isolated
tricuspid regurgitation might be related to the fact that in the past
years no clear guidelines on how and when to treat tricuspid
regurgitation were issued. Here, we discuss the meta-analysis by
Sarris-Michopoulos et al, and we comment what is available in literature
on diagnosis and decision making for tricuspid valve intervention.