ReviewIsolated tricuspid valve regurgitation: old concepts, new insights and innovationRusso, Marcoa; Zilberszac, Robertb; Werner, Paula; Kocher, Alfreda; Wiedemann, Dominika; Schneider, Matthiasb; Mascherbauer, Juliab; Laufer, Guenthera; Rosenhek, Raphaelb; Andreas, MartinaAuthor Information aDepartment of Cardiac Surgery bDepartment of Cardiology, Medical University of Vienna, Vienna, Austria Correspondence to Marco Russo, MD, Department of Cardiac Surgery, Medical University of Vienna, Austria, Währinger Gürtel 18-20, 1090 Wien, Vienna, Austria Tel: +43 1 40400 47031; e-mail: [email protected] Received 12 October, 2019 Revised 4 December, 2019 Accepted 15 December, 2019 Journal of Cardiovascular Medicine: June 2020 - Volume 21 - Issue 6 - p 406-414 doi: 10.2459/JCM.0000000000000933 Buy Metrics Abstract Tricuspid valve regurgitation is usually progressive and associated with reduced long-term survival. International guidelines recommend surgery in cases of isolated severe regurgitation associated with symptoms or progressive worsening of right ventricular function. In addition, several percutaneous strategies have been reported with promising results in the last decade. The aim of the present review is to summarize the current state of the art in the management of isolated functional or degenerative tricuspid valve insufficiency, from the preoperative assessment to the results of both surgical and transcatheter approaches and explore future directions. © 2020 Italian Federation of Cardiology - I.F.C. All rights reserved.