• Primary = valve defect
  • rheumatic HD
  • endocarditis, CT disease
• Secondary = normal valve = functional = most common
  • RV dilatation from
    • pressure overload = PHTN,
    • volume-overload
    • anatomical = right-sided MI

• any cause of RV dilatation

• PSM at LLSE

• manage co-morbidities

• Pre-op
• Intra-op
  • mild-moderate usually well tolerated
  • severe TR = ⬆RV pressure/volume overload / RVF
  • PL = adequate PL
    • critical to avoid hypovolaemia
  • HR = fast
  • RHY = sinus
  • INO = support RV if RVF
  • AL = maintain
    • PVR = low = avoid high = O2, CO2, pH, ENS+
• Post-op

https://www.anesthesiaconsiderations.com/tricuspid-regurgitation