Valve repair for traumatic tricuspid regurgitation
| Autor: | F. Maisano, Ottavio Alfieri, Roberto Lorusso, Giuseppe Coletti, L. Sandrelli, Lucia Torracca, G. La Canna |
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| Přispěvatelé: | Maisano, F, Lorusso, R, Sandrelli, L, Torracca, L, Coletti, G, La Canna, G, Alfieri, Ottavio |
| Rok vydání: | 1996 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Thorax medicine.medical_specialty Adolescent Regurgitation (circulation) Wounds Nonpenetrating Lesion Postoperative Complications Blunt Tricuspid Valve Insufficiency medicine Humans Rupture Tricuspid valve business.industry Optimal treatment Suture Techniques General Medicine Papillary Muscles Surgery medicine.anatomical_structure Heart Injuries Chordae Tendineae Tricuspid Valve medicine.symptom Cardiology and Cardiovascular Medicine Complication business Follow-Up Studies |
| Popis: | The review of six cases of valve repair for traumatic tricuspid regurgitation in our institution and 74 in the literature in order to assess effective methods of treating this lesion.Tricuspid valve regurgitation is a rare complication of blunt chest trauma. Optimal treatment for this condition is still controversial ranging from long-term medical therapy to early surgical correction. We followed the cases of six consecutive patients with post-traumatic tricuspid incompetence who were successfully treated with reparative techniques. All patients were male and their ages ranged from 18 years to 42 years. Valve regurgitation was always secondary to blunt chest trauma due to motor vehicle accident. The mechanism of valve insufficiency was invariably anterior leaflet prolapse due to chordal or papillary muscle rupture associated with annular dilatation. Surgical procedures included Carpentier ring implant (5 patients), Bex posterior annuloplasty (1 patient), implant of artificial chordae (4 patients), papillary muscle reinsertion (2 patients), commissuroplasty (1 patient) and "artificial double orifice" technique (1 patient).Tricuspid insufficiency improved in all patients after the correction. No complications were recorded and all patients were asymptomatic at the follow-up.Since post-traumatic tricuspid regurgitation is effectively correctable with reparative techniques, early operation is recommended to relieve symptoms and to prevent right ventricular dysfunction. |
| Databáze: | OpenAIRE |
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