Advanced mitral-tricuspid disease with severe right ventricular dysfunction: the double-staged approach

The Annals of Thoracic Surgery
Jérôme JouanJean-Noël Fabiani

Abstract

Tricuspid valve surgery in the presence of severe right ventricular dysfunction and pulmonary hypertension secondary to mitral valve stenosis is associated with poor early outcomes. We report the case of a young patient, presenting with severe chronic mitral-tricuspid disease responsible for long-lasting pulmonary hypertension and altered right ventricular function, who initially underwent mitral valve replacement and 7 days later the correction of her tricuspid insufficiency. This 2-staged approach permitted progressive reduction of pulmonary pressure and partial right ventricular remodeling before closing the systolic release valve of the right ventricle represented by tricuspid regurgitation.

References

Feb 4, 1999·The Annals of Thoracic Surgery·T SugimotoM Fukuoka
Mar 12, 2004·Journal of the American College of Cardiology·Jayant NathPaul A Heidenreich
Dec 25, 2009·Echocardiography·Anton ChrustowiczWiesława Piwowarska

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Citations

Apr 24, 2013·The Annals of Thoracic Surgery·Jerome Jouan, Paul Achouh
Apr 24, 2013·The Annals of Thoracic Surgery·Faisal G BakaeenLorraine D Cornwell

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