POST MVR - NORMAL PROSTHETIC VALVE FUNCTION...no problem
FAIR LEFT VENTRICULAR SYSTOLIC FUNCTION...no problem, may improve
NO PAH....pulmonary hypertension...no problem
SEVERE ORGANIC TRICUSPID REGURGITATION
Tricuspid regurgitation usually results when the right ventricle enlarges and resistance to blood flow from the right ventricle to the lungs is increased. Resistance may be increased by a severe, long-standing lung disorder, such as emphysema or pulmonary hypertension, by disorders involving the left side of the heart, or rarely by narrowing of the pulmonary valve (pulmonic stenosis). To compensate, the right ventricle enlarges, stretching the tricuspid valve and causing regurgitation....You have some right ventricle enlargement, no narrowing of the tricuspid valve that would enlarge the right ventricle. Regurgitation may have a role in the dilation.
A bypass would not be the correct treatment, but if the regurgitation is severe that may require repair.