Full Orifice Patching without Annuloplasty for Severe Functional Tricuspid Valve Regurgitation

2018 ◽  
Vol 66 (07) ◽  
pp. 572-574 ◽  
Author(s):  
Carlo De Filippo ◽  
Antonio Totaro ◽  
Piero Pelini ◽  
Michele Mauro ◽  
Antonio Calafiore
Keyword(s):  
Surgical Treatment ◽  
Right Ventricle ◽  
Tricuspid Valve ◽  
Tricuspid Regurgitation ◽  
Valve Regurgitation ◽  
Midterm Results ◽  
Tricuspid Valve Regurgitation ◽  
Functional Tricuspid Regurgitation ◽  
Tissue Augmentation

AbstractSurgical treatment of severe functional tricuspid regurgitation associated with dilated right ventricle and increased chordal tethering (>8 mm) is challenging. We designed a technique where the anterior and posterior leaflets are detached from 50% of the annulus and a patch as large as the tricuspid orifice is sewn to augment the leaflets' tissue to force the coaptation with the septal leaflet. Annuloplasty is not performed, as it can only increase the chordal tethering, reducing the benefit of tissue augmentation. Early and midterm results in a subgroup of patients with unfavorable anatomical aspects are encouraging.

Repair of tricuspid valve regurgitation due to a tricuspid valve cleft

2019 ◽  
Vol 27 (8) ◽  
pp. 688-690 ◽  
Author(s):  
Kosuke Saku ◽  
Hironori Inoue ◽  
Keisuke Yamamoto ◽  
Masahiro Ueno
Keyword(s):  
Rare Disease ◽  
Tricuspid Valve ◽  
Tricuspid Regurgitation ◽  
Tricuspid Valve Repair ◽  
Valve Regurgitation ◽  
Anterior Leaflet ◽  
Valve Repair ◽  
Tricuspid Valve Regurgitation ◽  
Tricuspid Annuloplasty ◽  
Cleft Closure

A cleft in the tricuspid valve, classified as congenital dysplasia, is a rare disease. Here, we report the case of a 79-year-old man with tricuspid regurgitation due to a cleft in the anterior leaflet. The patient underwent successful tricuspid valve repair with cleft closure, chordal reconstruction, and tricuspid annuloplasty.

scholarly journals The Effect of Concomitant Tricuspid Valve Regurgitation on the Condition of Patients with Ischemic Mitral Insufficiency

2020 ◽  
pp. 26-29
Author(s):  
S. A. Rudenko
Keyword(s):  
Coronary Heart Disease ◽  
Surgical Treatment ◽  
Mitral Regurgitation ◽  
Tricuspid Valve ◽  
Postoperative Mortality ◽  
Ischemic Mitral Regurgitation ◽  
Mitral Insufficiency ◽  
Valve Regurgitation ◽  
Tricuspid Valve Regurgitation ◽  
Tricuspid Insufficiency

Ischemic mitral regurgitation is one of the most difficult and complex problems of surgical treatment of coronary heart disease and drug therapy of this group of patients. Mitral regurgitation in coronary heart disease negatively affects the survival of patients. The combination of ischemic mitral regurgitation and tricuspid valve insufficiency significantly worsens the prognosis in this category of patients. The aim. To study the effect of concomitant tricuspid insufficiency on the condition of patients with ischemic mitral regurgitation. Material and methods. From January 2012 to December 2019, 292 patients with ischemic mitral insufficiency underwent surgical intervention at the National Amosov Institute of Cardiovascular Surgery of the NAMS of Ukraine. Results and discussion. Almost half of the patients (48.0%) who applied to the Institute and had severe tricuspid valve regurgitation already had a history of moderate right atrial hypertrophy. In the expressed backflow on the tricuspid valve these blockades occur much more often than in the absence of insufficiency of the tricuspid valve (p<0.01). The occurrence of ventricular and atrial extrasystoles is also not reliably linked to the level of tricuspid valve regurgitation. Examining the results of surgical treatment of patients with mitral regurgitation of ischemic origin revealed positive correlation between the effect of tricuspid valve regurgitation and postoperative mortality. Examining the results of surgical treatment of patients with mitral regurgitation of ischemic origin revealed positive correlation between the effect of tricuspid valve regurgitation and postoperative mortality. Conclusions. Concomitant tricuspid insufficiency in mitral regurgitation of ischemic origin significantly affects clinical condition of patients and their quality of life. The results of surgical treatment of patients with ischemic mitral regurgitation also depend on the degree of preoperative tricuspid valve regurgitation.

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