ECHO 2013 / Right Heart Valvular Disease When to Intervene

Surgery

Indications

•Symptoms

•Multiple variables drive decision

Tricuspid Endocarditis

Surgery

•Trend is for earlier intervention BUT data mostly from left-sided endocarditis

•“Hard” indications are the same as for left sided BUT decisions influenced by other issues (e.g drug abuse)

Carcinoid

Surgery

•Symptoms

•Consideration of extent of underlying disease

•Valve replacement (?mechanical)