Tricuspid valve repair for biopsy-induced regurgitation after cardiac transplantation.
Tricuspid regurgitation is a recognized complication of cardiac transplantation. Damage to the tricuspid valve and subvalvar apparatus has been suggested as a possible cause. We have repaired the tricuspid valves of 2 patients in whom severely symptomatic tricuspid regurgitation developed after transplantation. Gore-Tex sutures were used to replace ruptured chordae anchoring the septal and posterior leaflets. The repair was supported with a Carpentier-Edwards ring. The repairs remain durable at 2 year and 3 years. Both patients demonstrated a similar lesion that we believe to be characteristic of endomyocardial biopsy-induced tricuspid regurgitation.
Crumbley
A J
AJ
Division of Cardiothoracic Surgery, Medical University of South Carolina, Charleston 29425-2279.
Van Bakel
A B
AB
D000328:Adult; D001706:Biopsy / Q000009:adverse effects; D009202:Cardiomyopathies / Q000601:surgery; D015150:Echocardiography, Doppler; D004699:Endocardium / Q000473:pathology; D005260:Female; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009206:Myocardium / Q000473:pathology; D011644:Puerperal Disorders / Q000601:surgery; D013536:Suture Techniques; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*