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The Journal of Cardiovascular Surgery 2021 Jul 26

DOI: 10.23736/S0021-9509.21.11910-X

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

Tricuspid valve repair with echocardiographic guiding

Bettina PFANNMUELLER 1 , Thilo NOACK 1, Christian D. ETZ 1, Michael A. BORGER 1, Joerg ENDER 2, Anna FLO-FORNER 2

1 University Clinic for Cardiac Surgery, Leipzig Heart Center, Leipzig, Germany; 2 Clinic for Anesthesiology and Intensive Care Medicine, Leipzig Heart Center, Leipzig, Germany


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BACKGROUND: We report on four patients with severe tricuspid valve (TV) regurgitation, in which a differentiated intraoperative transoesophageal echocardiographic (TEE) analysis - as performed in TV-clipping procedures - provided major guidance for refined TV repair.
METHODS: Between January 2019 and March 2020, four patients with central tricuspid regurgitation and an intercommisural jet underwent annuloplasty with an echo-guided plication stitch on the affected leaflet basis, especially anteroseptal.
RESULTS: All patients underwent complex multiple valve (aortic- and/or mitral valve) surgery with concomitant TV-repair. No or mild TV regurgitation after TV repair was confirmed in the predischarge echocardiography in all patients.
CONCLUSIONS: We conclude, that differentiated intraoperative TEE is essential for the surgical TV repair strategy. Plication of the anteroseptal commissure - additionally performed to TV annuloplasty - is an easy and effective add-on in selected patients.


KEY WORDS: Valve disease; Tricuspid valve repair; Echocardiography

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