title: Complex Tricuspid Valve Repair in Patients With Pacer Defibrillator-Related Tricuspid Regurgitation.
abstract: Tricuspid valve regurgitation in patients with heart failure or in those undergoing complex cardiac operations is associated with increased morbidity and mortality. We report our results with a technique of repairing the tricuspid valves while retaining the pacer defibrillator lead. Patients had tricuspid valve repairs that included repositioning of the pacer defibrillator lead, approximation of septal and inferior/posterior leaflets in a modified cleft repair, and implantation of a tricuspid annuloplasty ring. This procedure was performed in more than 42 patients with good success.
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, Rush University Medical Center, Chicago, Illinois. Electronic address: jairaman2462@gmail.com.
authors.forename: Jaishankar
authors.initials: J
authors.lastname: Raman
authors.affiliation: Department of Medicine, Yale University Medical Center, New Haven, Connecticut.
authors.forename: Lissa
authors.initials: L
authors.lastname: Sugeng
authors.affiliation: Department of Surgery, National University of Singapore, Singapore.
authors.forename: David T M
authors.initials: DT
authors.lastname: Lai
authors.affiliation: Department of Surgery, University of Chicago, Chicago, Illinois.
authors.forename: Valluvan
authors.initials: V
authors.lastname: Jeevanandam
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D017147:Defibrillators, Implantable / Q000009:adverse effects*; D017548:Echocardiography, Transesophageal / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D061214:Patient Safety; D012189:Retrospective Studies; D018570:Risk Assessment; D016896:Treatment Outcome; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*