PMID: 8596382Mar 9, 1996Paper

Tricuspid autograft for mitral-valve repair

Lancet
U HvassD Chatel

Abstract

Transferring the posterior leaflet of the patient's own tricuspid valve with its subvalvular apparatus to the mitral valve is a new technique that allows a conservative approach to mitral-valve repair. The technique is based on the knowledge that the tricuspid valve can be remodelled from tricuspid to bicuspid, with a very low risk of significant dysfunction. We describe six patients (age range 20-70 years) with mitral insufficiency in whom we have used the technique. All patients survived the operation and were in sinus rhythm. Transoesophageal echocardiography before discharge showed trivial or no regurgitation at the site of mitral repair. Before operation, all patients were in New York Heart Association class III-IV; at follow-up after 6-13 months all patients were in class I-II. Compared with using segments of mitral homografts in similar situations, the intraoperative availability of the tricuspid's viable natural chordae and valvular leaflet means that there are no immunological disadvantages to the procedure. With this new operation, the patient is his own tissue bank.

References

Feb 1, 1995·The Annals of Thoracic Surgery·R C Elkins
Mar 1, 1995·The Annals of Thoracic Surgery·Y OkadaJ Yoshikawa
Mar 1, 1994·The Annals of Thoracic Surgery·C AcarA F Carpentier

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Citations

May 26, 2009·The Annals of Thoracic Surgery·Bachar El OumeiriGébrine El Khoury
Feb 7, 2012·The Journal of Thoracic and Cardiovascular Surgery·Laurent de KerchoveGebrine ElKhoury
Aug 15, 2021·Journal of Cardiac Surgery·Silvia SolariGebrine El Khoury

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