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Thorac Cardiovasc Surg 2018; 66(07): 572-574
DOI: 10.1055/s-0038-1627450
DOI: 10.1055/s-0038-1627450
Short Communication
Full Orifice Patching without Annuloplasty for Severe Functional Tricuspid Valve Regurgitation
Weitere Informationen
Publikationsverlauf
29. Oktober 2017
29. Dezember 2017
Publikationsdatum:
06. März 2018 (online)
![](https://www.thieme-connect.de/media/thoracic/201807/lookinside/thumbnails/10-1055-s-0038-1627450_174988c-1.jpg)
Abstract
Surgical 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.
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References
- 1 Navia JL, Nowicki ER, Blackstone EH. , et al. Surgical management of secondary tricuspid valve regurgitation: annulus, commissure, or leaflet procedure?. J Thorac Cardiovasc Surg 2010; 139 (06) 1473-1482.e5
- 2 Dreyfus GD, Corbi PJ, Chan KM, Bahrami T. Secondary tricuspid regurgitation or dilatation: which should be the criteria for surgical repair?. Ann Thorac Surg 2005; 79 (01) 127-132
- 3 Fukuda S, Gillinov AM, McCarthy PM. , et al. Determinants of recurrent or residual functional tricuspid regurgitation after tricuspid annuloplasty. Circulation 2006; 114 (1, Suppl): I582-I587
- 4 Dreyfus GD, Raja SG, John Chan KM. Tricuspid leaflet augmentation to address severe tethering in functional tricuspid regurgitation. Eur J Cardiothorac Surg 2008; 34 (04) 908-910
- 5 Min SY, Song JM, Kim JH. , et al. Geometric changes after tricuspid annuloplasty and predictors of residual tricuspid regurgitation: a real-time three-dimensional echocardiography study. Eur Heart J 2010; 31 (23) 2871-2880
- 6 Kara I, Koksal C, Erkin A. , et al. Outcomes of mild to moderate functional tricuspid regurgitation in patients undergoing mitral valve operations: a meta-analysis of 2,488 patients. Ann Thorac Surg 2015; 100 (06) 2398-2407
- 7 Choi JB, Kim NY, Kim KH, Kim MH, Jo JK. Tricuspid leaflet augmentation to eliminate residual regurgitation in severe functional tricuspid regurgitation. Ann Thorac Surg 2011; 92 (06) e131-e133
- 8 Pettinari M, Bertrand P, Van Kerrebroeck C, Vandervoort P, Gutermann H, Dion R. Mid-term results of leaflet augmentation in severe tricuspid functional tethering. Eur J Cardiothorac Surg 2016; 50 (03) 504-508
- 9 Calafiore AM, Refaie R, Iacò AL. , et al. Chordal cutting in ischemic mitral regurgitation: a propensity-matched study. J Thorac Cardiovasc Surg 2014; 148 (01) 41-46