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Physiological Manometric Tested Tricuspid Valvuloplasty
Author(s) -
ARBULU AGUSTIN,
HOLMES ROBERT J.,
ASFAW INGIDA
Publication year - 1988
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.1988.tb00437.x
Subject(s) - medicine , tricuspid insufficiency , tricuspid valve , cardiology , pulmonary hypertension , tricuspid valve insufficiency , surgery
Tricuspid insufficiency associated with severe left‐sided valvular heart disease carries a poor prognosis. Twenty‐two patients with severe pulmonary hypertension and tricuspid insufficiency underwent a tricuspid valvuloplasty in addition to left‐sided single or double valve replacement. The tricuspid valvuloplasty was performed after weaning the patient from cardio‐pulmonary bypass. The efficacy of the tricuspid valvuloplasty was gauged by continuous right atrial pressure recordings as the annuloplasty was completed. Obliteration of the peak of the V wave of the right atrial pressure recordings indicated that the tricuspid annuloplasty was secured. Twenty‐one patients were long‐term survivors, and 19 patients are in good condition for an average follow‐up of 6.1 years (1 to 12 years postoperatively).