title: Transesophageal echocardiography-guided chordal replacement for tricuspid regurgitation.
abstract: A 29-year-old man was referred to our institution for severe tricuspid regurgitation. Preoperative transesophageal echocardiography revealed dilation of the tricuspid annulus with prolapse of the anterior leaflet and progressive increase in right ventricular diameter. The anterior papillary muscle was elongated. Annuloplasty was completed by polytetrafluoroethylene artificial chordae implanted on the free margin of the anterior leaflet, and thereafter, tied outside the right ventricle, under echocardiography control to achieve appropriate length. The patient recovered well, and 6 months after surgery, repeat echocardiography revealed only mild tricuspid regurgitation with recovery of normal right ventricular dimensions.
authors.affiliation: Department of Cardiovascular Surgery, University Hospital of Angers, Angers, France. chbaufreton@chu-angers.fr
authors.forename: Christophe
authors.initials: C
authors.lastname: Baufreton
authors.forename: Jacques
authors.initials: J
authors.lastname: Laporte
authors.forename: Jacques
authors.initials: J
authors.lastname: Langlais
authors.forename: Michel
authors.initials: M
authors.lastname: Mehreb
authors.forename: Patrice
authors.initials: P
authors.lastname: Binuani
authors.forename: Jean Louis
authors.initials: JL
authors.lastname: De Brux
mesh_terms: D000328:Adult; D002815:Chordae Tendineae / Q000002:abnormalities / Q000473:pathology / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D011138:Polytetrafluoroethylene; D019736:Prostheses and Implants; D025321:Surgery, Computer-Assisted; D013537:Sutures; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging* / Q000601:surgery*
chemical_list: D011138:Polytetrafluoroethylene