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[Simple surgical method for intraoperative evaluation of adequacy of tricuspid annuloplasty].
Linköping University, Department of Medical and Health Sciences, Division of Cardiovascular Medicine. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart and Medicine Center, Department of Thoracic and Vascular Surgery.
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2008 (Hungarian)In: Magyar sebészet, ISSN 0025-0295, Vol. 61, no 1, 49-52 p.Article in journal (Refereed) Published
Abstract [hu]

In tricuspid annuloplasty intraoperative "real time" evaluation using transoesophageal echocardiography requires normal flow to get reliable result. It means that the patient has to be already weaned from the cardiopulmonary bypass by the time of evaluation. In the authors' experience a well functioning tricuspid annuloplasty prevents back-flow through the valve. It can be observed on on-pump beating heart. If the tricuspid valve is competent, it is unnecessary to suck the blood flowing back through the coronary sinus while closing the right atrium. This observation seems to correlate well with post cardiopulmonary bypass transoesophageal echocardiography measurements and the control transthoracic echocardiography right before discharging the patients. These statements are based on a group of 72 patients. Sixty-nine patients (95.8%) were discharged (early mortality 4.2%). Only in one case we could observe a discrepancy between the intraoperative surgical observation and the postoperative echocardiographic finding. Development of functional tricuspid regurgitation in left-sided heart disease is a warning sign for myocardial impairment, which is an indication for surgery. Tricuspid annuloplasty can be performed even with moderate to medium grade regurgitation because it improves the early and late outcome. The described method is an adequate method for intraoperative evaluation of the repaired tricuspid valve competency.

Place, publisher, year, edition, pages
2008. Vol. 61, no 1, 49-52 p.
National Category
Clinical Medicine
URN: urn:nbn:se:liu:diva-113911DOI: 10.1556/MaSeb.61.2008.Suppl.12PubMedID: 18504238OAI: diva2:785593
Available from: 2015-02-03 Created: 2015-02-03 Last updated: 2015-02-12

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Tamas, Eva
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Division of Cardiovascular MedicineFaculty of Health SciencesDepartment of Thoracic and Vascular Surgery
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