Surgical management of isolated congenital tricuspid regurgitation

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

研究成果: Article査読

18 被引用数 (Scopus)

抄録

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.

本文言語English
ページ(範囲)1571-1574
ページ数4
ジャーナルAnnals of Thoracic Surgery
66
5
DOI
出版ステータスPublished - 1998

ASJC Scopus subject areas

  • 外科
  • 呼吸器内科
  • 循環器および心血管医学

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