What are the key considerations when managing combined mitral and tricuspid regurgitation?

Fabien Praz and Neil Fam talk about the management of patients with combined mitral and tricuspid regurgitation, who are often elderly with heart failure and multiple comorbidities. Careful assessment—including echocardiography, hemodynamics, and sometimes CT—is crucial to identify the dominant lesion. Surgery is preferred if feasible, but for high-risk patients, transcatheter repair or replacement is considered.

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