Outcomes and risk analysis after tricuspid valve surgery for non-Ebstein 2-ventricle congenital tricuspid valve diseases

The concept of cone creation to treat isolated tricuspid valve dysplasia and the case of a double-orifice tricuspid valve

“…Outside EA, TV valve repair in adults with congenital heart disease has shown worse short- and medium-term results. Multiple articles 5 , 8 , 13 evidenced that, in this population, recurrence of TR is a common finding from discharge through medium-term follow-up, with greater than moderate TR occurring in approximately 1 in 5 patients over 3 years after repair. These data led us to use the Cone technique in non-Ebstein ( Figure 5 ).…”

“…The main mechanism underlying regurgitation in these patients is poor central coaptation. 8 , 9 In a previously published article, we described our experience in the use of autologous pericardium to increase leaflet size and coaptation height. 10 However, over the past 2 years, our experience using the Cone technique in EA has led to its use in isolated non-Ebstein TV disease as well.…”