Right Ventricular Reduction as an Adjunct Procedure in Tricuspid Valve Repair

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

Abstract

Functional tricuspid regurgitation secondary to mitral valve disease can not be attributed to the dilatation of the tricuspid annulus alone. Furthermore, geometrical changes of the right ventricle lead to tethering of the tricuspid valve leaflets and thereby to an incomplete leaflet coaptation. With this pathologic entity, conventional isolated tricuspid valve annuloplasty will presumably result in significant residual tricuspid regurgitation. The surgical goal should be the reduction of tricuspid annulus dilatation and annihilation of tethering forces on the tricuspid leaflets. In combination with conventional tricuspid valve annuloplasty, right ventricular reduction surgery, as demonstrated, may be effective in reaching these goals and hereby avoiding residual tricuspid regurgitation in this patient population.

Details

Original languageEnglish
Pages (from-to)e27-e29
JournalAnnals of Thoracic Surgery
Volume85
Issue number5
Publication statusPublished - May 2008
Peer-reviewedYes

External IDs

PubMed 18442526