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Tricuspid Valve Surgery

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Abstract

Similarly to aortic and mitral valve disease, both tricuspid stenosis and tricuspid regurgitation can be treated surgically. In clinical practice, however, surgical procedures for tricuspid stenosis are extremely rare. Numerous techniques for correction of tricuspid regurgitation have been elaborated since the 1960s but for decades surgeons have remained rather conservative in indications for tricuspid valve repair. Tricuspid regurgitation was traditionally believed to ameliorate spontaneously after surgical correction of left-sided heart valve disease and, in general, to be well tolerated by the patient. A shift in the paradigm towards a more aggressive surgical approach to secondary tricuspid regurgitation has been advocated by many in recent years in order to prevent further worsening of regurgitation and to avoid late reoperations with unfavorable results [1–4]. Th e number of surgical corrections of tricuspid regurgitation has been increasing because modern indication criteria do rightly suggest surgical intervention, even in less-significant tricuspid regurgitation, as part of a combined cardiac operation.

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References

  1. Vahanian A, Baumgartner H, Bax J et al. (2007) Guidelines on the management of valvular heart disease: The Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology. Eur Heart J 28:230–268

    PubMed  Google Scholar 

  2. Shiran A, Sagie A (2009) Tricuspid regurgitation in mitral valve disease incidence, prognostic implications, mechanism, and management. J Am Coll Cardiol 53:401–408

    Article  PubMed  Google Scholar 

  3. Wechsler AS (2009) Mitral valve surgery for functional mitral regurgitation: Should moderate to severe tricuspid regurgitation be treated? A propensity score analysis. J Thorac Cardiovasc Surg 137:267–268

    Article  PubMed  Google Scholar 

  4. Dreyfus GD, Corbi PJ, Chan KM et al (2005) Secondary tricuspid regurgitation or dilatation: which should be the criteria for surgical repair? Ann Thorac Surg 79:127–32

    Article  PubMed  Google Scholar 

  5. Carpentier A, Deloche A, Hanania G et al. (1974) Surgical management of acquired tricuspid valve disease. J Thorac Cardiovasc Surg 67:53–65

    CAS  PubMed  Google Scholar 

  6. Kay JH, Maselli-Campagna G, Tsuji KK (1965) Surgical treatment of tricuspid insufficiency. Ann Surg 162:53–58

    Article  CAS  PubMed  Google Scholar 

  7. Reed GE, Cortes LE (1976) Measured tricuspid annuloplasty: a rapid and reproducible technique. Ann Thorac Surg 21:168–169

    Article  CAS  PubMed  Google Scholar 

  8. Nakano S, Kawashima Y, Hirose H et al. (1984) An effective adjunct to tricuspid annuloplasty. Ann Thorac Surg 38:68–69

    CAS  PubMed  Google Scholar 

  9. Nakano S, Kawashima Y, Hirose H et al. (1988) Evaluation of long-term results of bicuspidalization annuloplasty for functional tricuspid regurgitation. A seventeen-year experience with 133 consecutive patients. J Thorac Cardiovasc Surg 95:340–345

    CAS  PubMed  Google Scholar 

  10. Vega NG de (1972) Selective, adjustable and permanent annuloplasty. An original technique for the treatment of tricuspid insufficiency. Rev Esp Cardiol 25:555–556 [in Spanish]

    Google Scholar 

  11. Antunes MJ, Girdwood RW (1983) Tricuspid annuloplasty: a modified technique. Ann Thorac Surg 35:676–678

    Article  CAS  PubMed  Google Scholar 

  12. Revuelta JM, Garcia-Rinaldi R (1989) Segmental tricuspid annuloplasty: a new technique. J Thorac Cardiovasc Surg 97:799–801

    CAS  PubMed  Google Scholar 

  13. Brugger JJ, Egloff L, Rothlin M et al. (1982) Tricuspid annuloplasty. Results and complications. Thorac Cardiovasc Surg 30:284–287

    Article  CAS  PubMed  Google Scholar 

  14. Sarraj A, Duarte J (2007) Adjustable segmental tricuspid annuloplasty: a new modified technique. Ann Thorac Surg 83:698–699

    Article  PubMed  Google Scholar 

  15. Sarraj A, Nuche JM, Dominguez L et al. (2009) Adjustable segmental tricuspid annuloplasty: technical advantages and midterm results. Ann Thorac Surg 87:1148–1153

    Article  PubMed  Google Scholar 

  16. Kurlansky P, Rose EA, Malm JR (1987) Adjustable annuloplasty for tricuspid insufficiency. Ann Thorac Surg 44:404–406

    Article  CAS  PubMed  Google Scholar 

  17. Cook JW (1994) Accurate adjustment of de Vega tricuspid annuloplasty using transesophageal echocardiography. Ann Thorac Surg 58:570–572

    Article  CAS  PubMed  Google Scholar 

  18. Minale C, Lambertz H, Nikol S et al. (1987) New developments for reconstruction of the tricuspid valve. Helv Chir Acta 54:295–301

    CAS  PubMed  Google Scholar 

  19. Bonis M de, Lapenna E, La Canna G et al. (2004) A novel technique for correction of severe tricuspid valve regurgitation due to complex lesions. Eur J Cardiothorac Surg 25:760–765

    Article  Google Scholar 

  20. Lai YQ, Meng X, Bai T et al. (2006) Edge-to-edge tricuspid valve repair: an adjuvant technique for residual tricuspid regurgitation. Ann Thorac Surg 81:2179–2182

    Article  PubMed  Google Scholar 

  21. Bernal JM, Gutierrez-Morlote J, Llorca Jet al. (2004) Tricuspid valve repair: an old disease, a modern experience. Ann Thorac Surg 78:2069–2075

    Article  PubMed  Google Scholar 

  22. Ghanta RK, Chen R, Narayanasamy N et al. (2007) Suture bicuspidization of the tricuspid valve versus ring annuloplasty for repair of functional tricuspid regurgitation: midterm results of 237 consecutive patients. J Thorac Cardiovasc Surg 133:117–126

    Article  PubMed  Google Scholar 

  23. Guenther T, Noebauer C, Mazzitelli D et al. (2008) Tricuspid valve surgery: a thirty-year assessment of early and late outcome. Eur J Cardiothorac Surg 34:402–409

    Article  PubMed  Google Scholar 

  24. Peterffy A, Szentkiralyi I, Galajda Z (2007) Tricuspid valve repair: indication and type of repair. J Thorac Cardiovasc Surg 134:266–267

    CAS  PubMed  Google Scholar 

  25. Tang GH, David TE, Singh SK et al. (2006) Tricuspid valve repair with an annuloplasty ring results in improved long-term outcomes. Circulation 114:1577–1581

    Article  Google Scholar 

  26. Filsoufi F, Anyanwu AC, Salzberg SP et al. (2005) Long-term outcomes of tricuspid valve replacement in the current era. Ann Thorac Surg 80:845–850

    Article  PubMed  Google Scholar 

  27. Frescura C, Angelini A, Daliento L et al. (2000) Morphological aspects of Ebstein's anomaly in adults. Thorac Cardiovasc Surg 48:203–208

    Article  CAS  PubMed  Google Scholar 

  28. Danielson GK, Maloney JD, Devloo RA (1979) Surgical repair of Ebstein's anomaly. Mayo Clin Proc 54:185–192

    CAS  PubMed  Google Scholar 

  29. Danielson GK, Driscoll DJ, Mair DD et al. (1992) Operative treatment of Ebstein's anomaly. J Thorac Cardiovasc Surg 104:1195–1202

    CAS  PubMed  Google Scholar 

  30. Carpentier A, Chauvaud S, Mace L et al. (1988) A new reconstructive operation for Ebstein's anomaly of the tricuspid valve. J Thorac Cardiovasc Surg 96:92–101

    CAS  PubMed  Google Scholar 

  31. Chauvaud S, Berrebi A, d'Attellis N et al. (2003) Ebstein's anomaly: repair based on functional analysis. Eur J Cardiothorac Surg 23:525–531

    Article  CAS  PubMed  Google Scholar 

  32. Kawano H, Oda T, Fukunaga S et al. (2000) Tricuspid valve replacement with the St. Jude Medical valve: 19 years of experience. Eur J Cardiothorac Surg 18:565–569

    Article  CAS  PubMed  Google Scholar 

  33. Kunadian B, Vijayalakshmi K, Balasubramanian S et al. (2007) Should the tricuspid valve be replaced with a mechanical or biological valve? Interact Cardiovasc Thorac Surg 6:551–557

    Article  PubMed  Google Scholar 

  34. Peterffy A, Szentkiralyi I (2001) Mechanical valves in tricuspid position: cause of thrombosis and prevention. Eur J Cardiothorac Surg 19:735–736

    Article  CAS  PubMed  Google Scholar 

  35. Rizzoli G, Vendramin I, Nesseris G et al. (2004) Biological or mechanical prostheses in tricuspid position? A meta-analysis of intra-institutional results. Ann Thorac Surg 77:1607–1614

    Article  PubMed  Google Scholar 

  36. Arbulu A, Asfaw I (1981) Tricuspid valvulectomy without prosthetic replacement. Ten years of clinical experience. J Thorac Cardiovasc Surg 82:684–691

    CAS  PubMed  Google Scholar 

  37. Arbulu A, Holmes RJ, Asfaw I (1991) Tricuspid valvulectomy without replacement. Twenty years' experience. J Thorac Cardiovasc Surg 102:917–922

    CAS  PubMed  Google Scholar 

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Correspondence to Pavel Zacek .

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Dominik, J., Zacek, P. (2010). Tricuspid Valve Surgery. In: Heart Valve Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-12206-4_7

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  • DOI: https://doi.org/10.1007/978-3-642-12206-4_7

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  • Online ISBN: 978-3-642-12206-4

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