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Functional tricuspid insufficiency (TFI), often associated with left-sided valve damage, may spontaneously regress after repair of this valvular disease. However, in other cases, it may worsen, necessitating reoperation. The objectives of our work were to study the evolution of unrepaired minimal to moderate TIA after left heart surgery, and to identify factors associated with the worsening of TIA after left heart valve surgery. This was a monocentric, descriptive and retrospective study, including 57 patients operated on for left heart valve disease associated with minimal-to-moderate IT deemed non-surgical preoperatively. We selected long-term anticoagulant therapy, the presence of more than two risk factors, preoperative AF and OG size > 33 cm² preoperatively as factors associated with worsening of TTI postoperatively. Worsening of TTI after left valve surgery is a formidable complication, burdened with a high morbi-mortality. However, the indications for repair of minimal to moderate TIA associated with left heart surgery remain controversial.