Surgical management of isolated congenital tricuspid regurgitation

Toshiyuki Katogi, Ryo Aeba, Tsutomu Ito, Tetsuya Goto, Yasunori Cho, Toshihiko Ueda, Shiaki Kawada

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background. Isolated congenital tricuspid regurgitation without downward displacement of the leaflet is a rare clinical entity. Degenerative cusps and lack of chordae may preclude valvuloplasty and require valve replacement. Methods. Three consecutive patients with isolated congenital tricuspid regurgitation underwent surgical repair between May 1995 and April 1997. Their ages were 23, 15, and 8 years old. Tricuspid valvuloplasty was feasible in all of them, with use of a gathering suture of the anterior leaflet, artificial chordae implantation, and ring annuloplasty. Results. All 3 patients survived and recovered well after the operation. The cardiothoracic ratios on their chest roentgenograms decreased from 0.64 to 0.52 in patient 1, from 0.58 to 0.48 in patient 2, and from 0.60 to 0.44 in patient 3. Postoperative echocardiograms showed competent tricuspid valves and the disappearance of regurgitation in all cases. Conclusions. Although malformation of the valve is extensive in isolated congenital tricuspid regurgitation, application of artificial chordae with conventional valvuloplasty technique can avoid the use of prosthetic valves by establishing the competence of the tricuspid valve.

Original languageEnglish
Pages (from-to)1571-1574
Number of pages4
JournalAnnals of Thoracic Surgery
Volume66
Issue number5
DOIs
Publication statusPublished - 1998

Fingerprint

Tricuspid Valve Insufficiency
Tricuspid Valve
Mental Competency
Sutures
Thorax

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Surgical management of isolated congenital tricuspid regurgitation. / Katogi, Toshiyuki; Aeba, Ryo; Ito, Tsutomu; Goto, Tetsuya; Cho, Yasunori; Ueda, Toshihiko; Kawada, Shiaki.

In: Annals of Thoracic Surgery, Vol. 66, No. 5, 1998, p. 1571-1574.

Research output: Contribution to journalArticle

Katogi, T, Aeba, R, Ito, T, Goto, T, Cho, Y, Ueda, T & Kawada, S 1998, 'Surgical management of isolated congenital tricuspid regurgitation', Annals of Thoracic Surgery, vol. 66, no. 5, pp. 1571-1574. https://doi.org/10.1016/S0003-4975(98)00753-X
Katogi, Toshiyuki ; Aeba, Ryo ; Ito, Tsutomu ; Goto, Tetsuya ; Cho, Yasunori ; Ueda, Toshihiko ; Kawada, Shiaki. / Surgical management of isolated congenital tricuspid regurgitation. In: Annals of Thoracic Surgery. 1998 ; Vol. 66, No. 5. pp. 1571-1574.
@article{359a164e53ab440f91d7039790348ed0,
title = "Surgical management of isolated congenital tricuspid regurgitation",
abstract = "Background. Isolated congenital tricuspid regurgitation without downward displacement of the leaflet is a rare clinical entity. Degenerative cusps and lack of chordae may preclude valvuloplasty and require valve replacement. Methods. Three consecutive patients with isolated congenital tricuspid regurgitation underwent surgical repair between May 1995 and April 1997. Their ages were 23, 15, and 8 years old. Tricuspid valvuloplasty was feasible in all of them, with use of a gathering suture of the anterior leaflet, artificial chordae implantation, and ring annuloplasty. Results. All 3 patients survived and recovered well after the operation. The cardiothoracic ratios on their chest roentgenograms decreased from 0.64 to 0.52 in patient 1, from 0.58 to 0.48 in patient 2, and from 0.60 to 0.44 in patient 3. Postoperative echocardiograms showed competent tricuspid valves and the disappearance of regurgitation in all cases. Conclusions. Although malformation of the valve is extensive in isolated congenital tricuspid regurgitation, application of artificial chordae with conventional valvuloplasty technique can avoid the use of prosthetic valves by establishing the competence of the tricuspid valve.",
author = "Toshiyuki Katogi and Ryo Aeba and Tsutomu Ito and Tetsuya Goto and Yasunori Cho and Toshihiko Ueda and Shiaki Kawada",
year = "1998",
doi = "10.1016/S0003-4975(98)00753-X",
language = "English",
volume = "66",
pages = "1571--1574",
journal = "Annals of Thoracic Surgery",
issn = "0003-4975",
publisher = "Elsevier USA",
number = "5",

}

TY - JOUR

T1 - Surgical management of isolated congenital tricuspid regurgitation

AU - Katogi, Toshiyuki

AU - Aeba, Ryo

AU - Ito, Tsutomu

AU - Goto, Tetsuya

AU - Cho, Yasunori

AU - Ueda, Toshihiko

AU - Kawada, Shiaki

PY - 1998

Y1 - 1998

N2 - Background. Isolated congenital tricuspid regurgitation without downward displacement of the leaflet is a rare clinical entity. Degenerative cusps and lack of chordae may preclude valvuloplasty and require valve replacement. Methods. Three consecutive patients with isolated congenital tricuspid regurgitation underwent surgical repair between May 1995 and April 1997. Their ages were 23, 15, and 8 years old. Tricuspid valvuloplasty was feasible in all of them, with use of a gathering suture of the anterior leaflet, artificial chordae implantation, and ring annuloplasty. Results. All 3 patients survived and recovered well after the operation. The cardiothoracic ratios on their chest roentgenograms decreased from 0.64 to 0.52 in patient 1, from 0.58 to 0.48 in patient 2, and from 0.60 to 0.44 in patient 3. Postoperative echocardiograms showed competent tricuspid valves and the disappearance of regurgitation in all cases. Conclusions. Although malformation of the valve is extensive in isolated congenital tricuspid regurgitation, application of artificial chordae with conventional valvuloplasty technique can avoid the use of prosthetic valves by establishing the competence of the tricuspid valve.

AB - Background. Isolated congenital tricuspid regurgitation without downward displacement of the leaflet is a rare clinical entity. Degenerative cusps and lack of chordae may preclude valvuloplasty and require valve replacement. Methods. Three consecutive patients with isolated congenital tricuspid regurgitation underwent surgical repair between May 1995 and April 1997. Their ages were 23, 15, and 8 years old. Tricuspid valvuloplasty was feasible in all of them, with use of a gathering suture of the anterior leaflet, artificial chordae implantation, and ring annuloplasty. Results. All 3 patients survived and recovered well after the operation. The cardiothoracic ratios on their chest roentgenograms decreased from 0.64 to 0.52 in patient 1, from 0.58 to 0.48 in patient 2, and from 0.60 to 0.44 in patient 3. Postoperative echocardiograms showed competent tricuspid valves and the disappearance of regurgitation in all cases. Conclusions. Although malformation of the valve is extensive in isolated congenital tricuspid regurgitation, application of artificial chordae with conventional valvuloplasty technique can avoid the use of prosthetic valves by establishing the competence of the tricuspid valve.

UR - http://www.scopus.com/inward/record.url?scp=0032417892&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0032417892&partnerID=8YFLogxK

U2 - 10.1016/S0003-4975(98)00753-X

DO - 10.1016/S0003-4975(98)00753-X

M3 - Article

C2 - 9875753

AN - SCOPUS:0032417892

VL - 66

SP - 1571

EP - 1574

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

SN - 0003-4975

IS - 5

ER -