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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 10/2016

01-10-2016 | Current Topics Review Article

Tricuspid surgery for tricuspid regurgitation: review

Authors: Tadashi Isomura, Yasuhisa Fukada, Takuya Miyazaki, Masahiro Endo

Published in: General Thoracic and Cardiovascular Surgery | Issue 10/2016

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Abstract

The tricuspid regurgitation (TR) is so-called ‘functional’ rather than organic. And therefore, it was originally thought that in most patients with secondary TR, surgical treatment of the left side heart valve would correct the problems of the TR. However, in recent study, the residual or recurrent TR showed poor prognosis after the surgery and the tricuspid valve is called ‘forgotten’ valve. The anatomy and pathophysiology of the tricuspid valve are shown as three-dimensional structure which is different from the “saddle-shaped” mitral annulus, and the finding suggests that an annuloplasty for TR is different from that for mitral regurgitation. The indication of tricuspid annuloplasty (TAP) for TR is not only the degree of TR but also annular dilatation without TR at the time of surgery. Tricuspid annuloplasty shows better long-term results after surgery than replacement and additional procedure may be required to prevent recurrence of TR after TAP. In this review, indication, the therapeutic procedures and prognosis depend on surgical procedure with or without ring or additional procedures are reviewed.
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Metadata
Title
Tricuspid surgery for tricuspid regurgitation: review
Authors
Tadashi Isomura
Yasuhisa Fukada
Takuya Miyazaki
Masahiro Endo
Publication date
01-10-2016
Publisher
Springer Japan
Published in
General Thoracic and Cardiovascular Surgery / Issue 10/2016
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-016-0678-4

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