Valve repair for traumatic tricuspid regurgitation

Abstract

Since post-traumatic tricuspid regurgitation is effectively correctable with reparative techniques, early operation is recommended to relieve symptoms and to prevent right ventricular dysfunction.

Posttraumatic tricuspid valve perforation and severe tricuspid valve regurgitation

“…Hence, an early operation allows preservation of myocardial reserve by preventing secondary myocardial changes. [10] With favorable surgical anatomy, repair of the tricuspid valve is preferred strategy. [10] In delayed cases, excessive fibrosis and shortening of the chordae can occur, and repair cannot be performed, in which case replacement of the prosthetic valve is the only choice of treatment.…”

“…[10] With favorable surgical anatomy, repair of the tricuspid valve is preferred strategy. [10] In delayed cases, excessive fibrosis and shortening of the chordae can occur, and repair cannot be performed, in which case replacement of the prosthetic valve is the only choice of treatment. [9] In conclusion, transthoracic echocardiography should be performed in all patients with non-penetrating chest wall trauma if cardiac injury is suspected.…”

Severe tricuspid regurgitation after blunt chest trauma due to chordal rupture: a rare complication

“…Valve repair method to be applied was determined according to valve anatomy and accompanying pathology as well. Surgical procedures included Carpentier ring implant, posterior annuloplasty, implantation of artificial chordae, papillary muscle reinsertion, commissuroplasty and artificial double orifice technique (9). The pressure is reduced at the suture line and coaptation of valve is increased with annuloplasty (10).…”

Repair of traumatic tricuspid regurgitation by bicuspidization

“…Attempts to repair traumatically induced tricuspid regurgitation have mainly focused on the use of synthetic material to replace ruptured chordae tendineae or papillary muscles. 1,[3][4][5] Other reports have demonstrated successful repair using the trabecular muscle elevation technique, 6 the leafl et transposition technique, 7 the double orifi ce technique, 8 or the clover technique. 9 In the present case, the respective papillary muscles were atrophic, and the anterior leafl et was relatively small.…”