HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Gilles D. Dreyfus Shahzad G. Raja Kok Meng John Chan Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Dreyfus, G. D. Articles by John Chan, K. M. Search for Related Content PubMed Articles by Dreyfus, G. D. Articles by John Chan, K. M. Related Collections Valve disease

How-to-do-it

Tricuspid leaflet augmentation to address severe tethering in functional tricuspid regurgitation

^a Department of Cardiac Surgery, Royal Brompton and Harefield NHS Trust, Harefield Hospital, Hill End Road, Harefield, Middlesex UB9 6JH, United Kingdom
^b Department of Cardiovascular Sciences, Imperial College London, United Kingdom

Received 24 April 2008; received in revised form 25 June 2008; accepted 1 July 2008.

^_* Corresponding author. Tel.: +44 1895 828 665; fax: +44 1895 828 666. (Email: G.Dreyfus{at}rbht.nhs.uk).

This paper describes a technique for treating severe tricuspid regurgitation due to severe tethering of the tricuspid valve leaflets. The anterior tricuspid leaflet is augmented by use of an autologous pericardial patch, which increases its size, and hence its surface area of coaptation, allowing increased leaflet coaptation to occur with reduced tension within the right ventricle. A Carpentier–Edwards annuloplasty ring is then implanted. We have successfully performed this operation in 15 patients with severe tricuspid regurgitation due to severe leaflet tethering and have achieved complete elimination of tricuspid regurgitation with good coaptation of the tricuspid leaflets. We describe this simple and easily reproducible technique to treat severe tricuspid regurgitation due to tethering of the tricuspid valve leaflets.

Key Words: Tricuspid regurgitation • Tricuspid tethering • Annuloplasty

This article has been cited by other articles:

				G. D Dreyfus and K M J. Chan Functional tricuspid regurgitation: a more complex entity than it appears Heart, June 1, 2009; 95(11): 868 - 869. [Full Text] [PDF]

				S. G. Raja and G. D. Dreyfus Reply to Myers et al. Eur. J. Cardiothorac. Surg., January 1, 2009; 35(1): 195 - 196. [Full Text] [PDF]

				P. O. Myers, A. Panos, M. Cikirikcioglu, and A. Kalangos Anterior leaflet augmentation to address tethering-induced functional tricuspid regurgitation Eur. J. Cardiothorac. Surg., January 1, 2009; 35(1): 194 - 195. [Full Text] [PDF]

				A. Vahanian, B. Iung, L. Piérard, R. Dion, and J. Pepper CHAPTER 21 Valvular Heart Disease ESC Textbook of Cardiovascular Medicine, January 1, 2009; 2(1): med-9780199566990-chapter - med-9780199566990-chapter. [Abstract] [Full Text] [PDF]