Right ventricular papillary muscle approximation for functional tricuspid regurgitation associated with severe leaflet tethering. (15th December 2017)

• Record Type: Journal Article
• Authors: Matsumiya, Goro; Kohno, Hiroki; Matsuura, Kaoru; Sakata, Tomoki; Tamura, Yusaku; Watanabe, Michiko; Ueda, Hideki
• Is Part Of: Interactive cardiovascular and thoracic surgery. Volume 26:Number 4(2018)
• Page Start: 700
• Page End: 702
• Publication Date: 2017-12-15
• Subjects: Tricuspid regurgitation -- Leaflet tethering -- Papillary muscle approximation; Chest -- Surgery -- Periodicals; Cardiovascular system -- Diseases -- Periodicals; 616.1
• DOI: 10.1093/icvts/ivx406
• Languages: English
• ISSNs: 1569-9293

Abstract

Abstract: Recurrent tricuspid regurgitation (TR) can occur after tricuspid annuloplasty if severe leaflet tethering persists. To reduce the tethering, we applied right ventricular papillary muscle approximation in 7 patients with severe functional TR associated with significant leaflet tethering. Postoperative echocardiogram revealed mild or less TR and a significant reduction in the tethering effect. In conclusion, this adjunctive technique can improve functional TR associated with leaflet tethering.