Functional tricuspid regurgitation is common in patients with heart valve disease, replacement and repair both can correct this anomaly. However, there is no data to address which one can bring more benefits to these patients with combined heart valve disease. The investigators retrospectively review patients with two or more heart valve disease and functional tricuspid regurgitation, and assess its long term outcomes.

we reviewed patients who admitted to our hospital due to combined heart valve disease, and underwent tricuspid valve replacement or repair from January,1998 to december,2009. we made a comparison between these two groups, in term of early results after operation and long term results.

Inclusion Criteria:

• Significant disorders in aortic and mitral valves
• Moderate ～ severe tricuspid regurgitation
• Underwent tricuspid repair or replacement operation

Exclusion Criteria:

• Isolate tricuspid valve lesion
• Mild tricuspid valve regurgitation
• Tricuspid valve regurgitation was left without surgical treatment

patients with aortic valve and mitral valve diseases and functional tricuspid valve regurgitation underwent surgical operations from Nov., 1998 to Dec., 2009 in our institute.