Pulsatile Varicose Veins Caused by Tricuspid Valve Regurgitation

We report an uncommon case of pulsatile varicose veins in a young woman caused by tricuspid valve insufficiency of rheumatic origin combined with an incompetent valve at the sapheno–femoral junction. She was treated with limited stripping of the great saphenous vein and local varicosities were excised. Postoperative recovery was complicated by a large haematoma in the thigh. Following our recent experience we believe that patients like this, with elevated venous pressure and requiring anticoagulant therapy for prosthetic valves, should be treated with sapheno–femoral dissociation alone.

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Tricento transcatheter heart valve implantation in a redo setting for the treatment of torrential tricuspid valve regurgitation

10.1510/mmcts.2021.032 ◽

2021 ◽

Keyword(s):

Medical Treatment ◽

Heart Valve ◽

Tricuspid Valve ◽

Treatment Option ◽

Valve Regurgitation ◽

Tricuspid Valve Regurgitation ◽

Transcatheter Heart Valve ◽

Tricuspid Valve Insufficiency ◽

Valve Insufficiency ◽

Valve Implantation

Surgery on the tricuspid valve is well established in specialized centers because tricuspid valve insufficiency is frequently encountered and is often functional in nature. With the increasing adoption of catheter-based treatments, there is a growing interest in and need for interventional treatments for tricuspid valve insufficiency. The Tricento heart valve is a gentle, less invasive, catheter-based treatment option for patients not suited for surgery who are receiving optimized medical treatment.

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Tricuspid valve repair for moderate and severe tricuspid valve insufficiency in patients undergoing LVAD implantation

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-0032-1332263 ◽

2013 ◽

Vol 61 (S 01) ◽

Author(s):

S Mahr ◽

J Riebandt ◽

T Haberl ◽

J Horvat ◽

A Rajek ◽

...

Keyword(s):

Tricuspid Valve ◽

Tricuspid Valve Repair ◽

Valve Repair ◽

Tricuspid Valve Insufficiency ◽

Valve Insufficiency

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Video-assisted minimal access surgery for complicated mitral valve endocarditis, tricuspid valve insufficiency and progressive coronary disease after previous CABG - in the time of COVID-19: a case report

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01517-8 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Terézia B. Andrási ◽

Nunijiati Abudureheman ◽

Alannah Glück ◽

Maximilian Vondran ◽

Gerhard Dinges ◽

...

Keyword(s):

Cardiac Surgery ◽

Mitral Valve ◽

Minimally Invasive ◽

Tricuspid Valve ◽

Surgical Instruments ◽

Tricuspid Valve Repair ◽

Long Term Outcome ◽

Tricuspid Valve Insufficiency ◽

Valve Insufficiency ◽

Neurosurgical Intervention

Abstract Background The timing for heart surgery following cerebral embolization after cardiac valve vegetation is vital to postoperative recovery being uneventful, additionally Covid-19 may negatively affect the outcome. Minimally invasive methods and upgraded surgical instruments maximize the benefits of surgery also in complex cardiac revision cases with substantial perioperative risk. Case presentation A 68 y.o. patient, 10 years after previous sternotomy for OPCAB was referred to cardiac surgery on the 10th postoperative day after neurosurgical intervention for intracerebral bleeding with suspected mitral valve endocarditis. Mitral valve vegetation, tricuspid valve insufficiency and coronary stenosis were diagnosed and treated by minimally invasive revision cardiac surgery on the 14th postoperative day after neurosurgery. Conclusion The present clinical case demonstrates for the first time that the minimally invasive approach via right anterior mini-thoracotomy can be safely used for concomitant complex mitral valve reconstruction, tricuspid valve repair and aorto-coronary bypass surgery, even as a revision procedure in the presence of florid endocarditis after recent neurosurgical intervention. The Covid-19 pandemic and prophylactic patient isolation slow down the efficacy of pulmonary weaning and mobilisation and prolong the need for ICU treatment, without adversely affecting long-term outcome.

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Tricuspid valve repair via partial sternotomy for traumatic valve insufficiency

Asian Cardiovascular and Thoracic Annals ◽

10.1177/02184923211010080 ◽

2021 ◽

pp. 021849232110100

Author(s):

Motohiro Maeda ◽

Jiro Honda ◽

Yosuke Ishi

Keyword(s):

Tricuspid Valve ◽

Chest Trauma ◽

Right Heart Failure ◽

Tricuspid Valve Repair ◽

Valve Repair ◽

Cardiac Trauma ◽

Partial Sternotomy ◽

Tricuspid Valve Insufficiency ◽

Valve Insufficiency ◽

Early Surgical Intervention

Tricuspid valve insufficiency rarely follows a blunt chest trauma. When the tricuspid valve is solely injured, the cardiac trauma may stay asymptomatic and tolerable, which often makes it difficult to determine the indication for surgery. We report a case of a patient with tricuspid regurgitation secondary to trauma due to a motorcycle accident. The patient was initially asymptomatic, but shortness of breath emerged two years after the accident. He underwent the tricuspid valve repair with chordae reconstruction and annuloplasty via lower partial sternotomy. We advocate that early surgical intervention prevents right heart failure, atrial fibrillation, and valve replacement.

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