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.

中文翻译：

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孤立的三尖瓣关闭不全：旧概念，新见解和创新。

三尖瓣反流通常是进行性的，并伴有长期生存率降低。国际指南建议，如果孤立的严重反流伴有症状或右心室功能逐渐恶化，则应进行手术。另外，在过去的十年中，已经报道了几种经皮策略，并取得了可喜的成果。本综述的目的是总结从手术前评估到手术方法和经导管方法的结果，从功能上或退行性三尖瓣功能不全的隔离管理方面的最新技术，并探讨未来的方向。