1.Predictor and Fate of Persistent Functional Tricuspid Regurgitation After Left Heart Surgery with Tricuspid Annuloplasty.
Wook Jin CHUNG ; Geuru HONG ; Woong Chol KANG ; Sang Hak LEE ; Boyoung JOUNG ; Se Joong RIM ; Byung Chul CHANG ; Namsik CHUNG ; Seung Yun CHO
Journal of the Korean Society of Echocardiography 2002;10(2):44-50
No abstract available.
Heart*
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Thoracic Surgery*
;
Tricuspid Valve Insufficiency*
5.Continuous "Over and Over" Suture for Tricuspid Ring Annuloplasty.
Kwon Jae PARK ; Jong Soo WOO ; Sang Seok JEONG ; Jung Hoon YI
The Korean Journal of Thoracic and Cardiovascular Surgery 2012;45(1):19-23
BACKGROUND: A ring implantation in the tricuspid annulus requires many interrupted mattress sutures for correction of tricuspid regurgitation (TR). In this study, tricuspid ring annuloplasty was performed by 2-0 polypropylene continuous suture instead of multiple interrupted 2-0 polyester mattress sutures, and the efficacy of the method was evaluated. MATERIALS AND METHODS: This study included 20 patients who underwent tricuspid ring annuloplasty by continuous suture between May 2009 and July 2010. Four of the patients had an isolated TR, and the rest had a left-sided cardiac lesion. The concomitant tricuspid annuloplasty was performed after the left-sided heart surgery was completed and a Duran flexible ring prosthesis was used. RESULTS: There was no perioperative mortality or conduction problem. More than a moderate degree of TR was improved to less than a mild degree after the procedure. After the ring annuloplasty, the right atrial volume decreased from 123.7+/-69.2 mL to 74.5+/-37.4 mL, and the mean right atrial pressure was lowered from 18.7+/-12.2 mmHg to 8.9+/-5.5 mmHg. CONCLUSION: The continuous "over and over" suture may be a useful procedure for fixing the ring to the annulus and making an intentional annular placation in performing tricuspid ring annuloplasty.
Atrial Pressure
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Humans
;
Polyesters
;
Polypropylenes
;
Prostheses and Implants
;
Sutures
;
Thoracic Surgery
;
Tricuspid Valve
;
Tricuspid Valve Insufficiency
7.Surgical treatment of flail leaflet of tricuspid valve.
Xiu-bin YANG ; Qing-yu WU ; Jian-ping XU ; Xiang-dong SHEN ; Shuang GAO ; Feng LIU ; Xiao-yan LIU
Chinese Journal of Surgery 2006;44(22):1565-1567
OBJECTIVETo explore the approach and the result in tricuspid valve insufficiency treatment by a cusp remodeling technique.
METHODSNine patients with severe tricuspid regurgitation, congenital lack of chordae in 6 cases and traumatic rupture of chordae in 3 cases, underwent surgical repair between April 1997 and March 2006. There were six male and three female. Their ages ranged from 8 years to 57 years. One or two segments of flail leaflets were presented in these patients. Valve repair was performed by suture of the free edge of the affected cusp segment, plication of the segment of annulus devoid of leaflet, and fixation of the neo-annulus with a flexible annuloplasty ring.
RESULTSAll patients survived and recovered after the operation. Echocardiography showed good coaptation with no regurgitation of the tricuspid valve in six patients and a mild residual tricuspid regurgitation in three. A remarkable decrease in the diameter of the right ventricle (anterior to posterior) was observed: from mean (43.6 +/- 4.2) mm (range 29 mm to 64 mm) preoperatively reducing to mean (24.0 +/- 1.8) mm (range 16 mm to 32 mm) postoperatively. All patients are doing well in 1 month to 109 months follow up.
CONCLUSIONThe procedure provided a simple and valuable option for repair of flail leaflet of tricuspid valve caused by congenital lack of chordae or traumatic rupture of chordae.
Adolescent ; Adult ; Child ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Treatment Outcome ; Tricuspid Valve ; surgery ; Tricuspid Valve Insufficiency ; etiology ; surgery ; Tricuspid Valve Prolapse ; complications ; surgery
8.Prosthetic valve replacement in children.
; B T Le ROUX ; N M ROGERS ; M S GOTSMAN
Singapore medical journal 1973;14(3):420-422
Adolescent
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Aortic Valve
;
surgery
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Child
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Child, Preschool
;
Heart Valve Prosthesis
;
Humans
;
Mitral Valve
;
surgery
;
Tricuspid Valve
;
surgery
9.Tricuspid Replacement through Right Thoracotomy in Reoperation: A case report.
Hyuck KIM ; San Woong HAN ; Won Sang CHUNG ; Jung Ho KANG ; Soon Ho CHON ; Chul Bum LEE ; Young Hak KIM
The Korean Journal of Thoracic and Cardiovascular Surgery 2005;38(10):714-716
In an extremely enlarged right heart, the repeated midline sternotomy was considered to involve the risk of massive hemorrhage. A right thoracotomy provides a convenient and safe way to approach the tricuspid valve in patient who have had previous heart surgery through a midline sternotomy.
Heart
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Hemorrhage
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Humans
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Reoperation*
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Sternotomy
;
Thoracic Surgery
;
Thoracotomy*
;
Tricuspid Valve
10.Redoing a bioprosthetic tricuspid valve replacement with pacemaker wire through the ruined bioprosthetic valve orifice.
Hong-wei GUO ; Shi-wei PAN ; Yun-hu SONG ; Sheng-shou HU
Chinese Medical Journal 2011;124(6):958-960
Severe tricuspid regurgitation with permanent pacemaker wire passing through the orifice of bioprosthetic tricuspid valve is extremely rare. We present a case of such kind of patient and redid bioprosthetic tricuspid valve replacement. A hawk mouth forceps for bone surgery was used to cut off the mental ring of ruined bioprosthetic tricuspid valve and the ruined valve was removed. A new bioprosthetic tricuspid valve was implanted and the wire of permanent pacemaker was left outside the ring of bioprosthetic tricuspid valve. This method may be helpful for such kind of patient.
Adult
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Female
;
Humans
;
Pacemaker, Artificial
;
Tricuspid Valve
;
surgery