Valve reconstruction or replacement for long-term biopsy-induced tricuspid regurgitation following heart transplantation.
Tricuspid regurgitation following heart transplantation can become a severe problem in a subset of patients, where medical therapy fails. Operative findings are described and results of subsequent results with surgical intervention including repair and replacement are analysed. Although follow-up is short, tricuspid replacement seems superior to reconstruction following heart transplantation. Best results are obtained, if replacement is performed, before right ventricular function deteriorates.
Wahlers
T
T
Department of Cardiothoracic Surgery, Hannover Medical School, Germany.
Albes
J
J
Pethig
K
K
Oppelt
P
P
Fieguth
H G
HG
Jurmann
M
M
Hausen
B
B
Demertzis
S
S
Borst
H G
HG
D000328:Adult; D000368:Aged; D001706:Biopsy / Q000009:adverse effects*; D005260:Female; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009206:Myocardium / Q000473:pathology*; D012189:Retrospective Studies; D014261:Tricuspid Valve / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000209:etiology / Q000601:surgery*