Role of concomitant tricuspid surgery in moderate functional tricuspid regurgitation in patients undergoing left heart valve surgery

Role of concomitant tricuspid surgery in moderate functional tricuspid regurgitation in patients undergoing left heart valve surgery

Functional tricuspid regurgitation (FTR) is frequently present in patients undergoing aortic, and particularly mitral valve, surgery. Untreated FTR may lead to right heart failure. Reoperative cardiac surgery for late FTR is associated with high morbidity and mortality. Therefore, severe FTR has eme...

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Veröffentlicht in:European journal of cardio-thoracic surgery 2013-01, Vol.43 (1), p.2-8
Hauptverfasser: Mahesh, Balakrishnan, Wells, Francis, Nashef, Samer, Nair, Sukumaran
Format: Artikel
Sprache:eng
Schlagworte:
Algorithms
Cardiac Surgical Procedures - methods
Humans
Mitral Valve - surgery
Tricuspid Valve - anatomy & histology
Tricuspid Valve - surgery
Tricuspid Valve Insufficiency - diagnosis
Tricuspid Valve Insufficiency - physiopathology
Tricuspid Valve Insufficiency - surgery
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container_title European journal of cardio-thoracic surgery
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creator Mahesh, Balakrishnan
Wells, Francis
Nashef, Samer
Nair, Sukumaran
description Functional tricuspid regurgitation (FTR) is frequently present in patients undergoing aortic, and particularly mitral valve, surgery. Untreated FTR may lead to right heart failure. Reoperative cardiac surgery for late FTR is associated with high morbidity and mortality. Therefore, severe FTR has emerged as a Class I indication for concomitant tricuspid valve surgery in patients undergoing left valve surgery. Concomitant tricuspid valve surgery during left heart valve surgery to address moderate and mild FTR is controversial. This review addresses this issue and proposes an algorithm for the treatment of FTR in patients undergoing left heart valve surgery.
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subjects Algorithms
Cardiac Surgical Procedures - methods
Humans
Mitral Valve - surgery
Tricuspid Valve - anatomy & histology
Tricuspid Valve - surgery
Tricuspid Valve Insufficiency - diagnosis
Tricuspid Valve Insufficiency - physiopathology
Tricuspid Valve Insufficiency - surgery
title Role of concomitant tricuspid surgery in moderate functional tricuspid regurgitation in patients undergoing left heart valve surgery
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