Tricuspid valve repair for treatment and prevention of secondary tricuspid regurgitation in patients undergoing mitral valve surgery
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Secondary or functional tricuspid regurgitation occurring late after mitral valve surgery is associated with high morbidity and mortality. In this article, we review the pathophysiology of secondary tricuspid regurgitation and the evidence supporting the use of tricuspid valve annuloplasty for preventing and treating secondary tricuspid regurgitation. Liberal application of tricuspid valve annuloplasty is recommended to prevent progression of secondary regurgitation, as contrary to widely held opinion, fixing the left-sided valve dysfunction often does not resolve secondary tricuspid valve dysfunction. Based on existing literature, assessing the tricuspid valve annular dimensions can be recommended as part of all mitral valve operations, and annuloplasty strongly considered in patients with tricuspid annular dilatation or moderate to severe tricuspid regurgitation.
KeywordsMitral Valve Tricuspid Valve Tricuspid Regurgitation Mitral Valve Replacement Mitral Valve Repair
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References and Recommended Reading
- 10.Park YH, Song JM, Lee EY, et al.: Geometric and hemodynamic determinants of functional tricuspid regurgitation: a real-time three-dimensional echocardiography study. Int J Cardiol 2007, [Epub ahead of print.]Google Scholar
- 16.Sukmawan R, Watanabe N, Ogasawara Y, et al.: Geometric changes of tricuspid valve tenting in tricuspid regurgitation secondary to pulmonary hypertension quantified by novel system with transthoracic real-time 3-dimensional echocardiography. J Am Soc Echocardiogr 2007, 20:470–476.PubMedCrossRefGoogle Scholar
- 31.Keogh BE, Kinsman R: Fifth National Adult Cardiac Surgical Database Report 2003. Henley-on-Thames, UK: Dendrite Clinical Systems; 2004.Google Scholar
- 35.American College of Cardiology/American Heart Association Task Force on Practice Guidelines; Society of Cardiovascular Anesthesiologists; Society for Cardiovascular Angiography and Interventions; Society of Thoracic Surgeons, Bonow RO, Carabello BA, Kanu C, et al.: ACC/ AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): developed in collaboration with the Society of Cardiovascular Anesthesiologists: endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons. Circulation 2006, 114:E84–E231. [Published erratum appears in Circulation 2007, 115:E409.]PubMedCrossRefGoogle Scholar
- 42.De Vega NG, De Rabago G, Castillon L, et al.: A new tricuspid repair. Short-term clinical results in 23 cases. J Cardiovasc Surg (Torino) 1973, Spec No:384–386.Google Scholar