title: [Easy and reproducible technique to address tricuspid valve regurgitation with patch augmentation.
abstract: We describe a patch augmentation of the anterior leaflet of the tricuspid valve to address tricuspid valve regurgitation due to leaflet retraction. The area of the anterior leaflet is measured using a tricuspid valve annuloplasty sizer; a glutaraldehyde-fixed autologous pericardial patch is trimmed with slight 5 mm oversize. The anterior leaflet is detached and the patch is sutured with three 5/0 running interlocked sutures, then an annuloplasty is performed with an undersized ring. This technique offers an easy and reproducible tool to address tricuspid regurgitation due to lack of leaflet coaptation.
authors.affiliation: Ospedale del Cuore "G. Pasquinucci", Fondazione Toscana "G. Monasterio", via Aurelia Sud, 54100, Massa, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Solinas
authors.forename: Giacomo
authors.initials: G
authors.lastname: Bianchi
authors.forename: Mattia
authors.initials: M
authors.lastname: Glauber
mesh_terms: D000328:Adult; D058385:Cardiac Valve Annuloplasty / Q000379:methods*; D002315:Cardiopulmonary Bypass; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D010496:Pericardium / Q000637:transplantation; D013536:Suture Techniques; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*