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The Annals of Thoracic Surgery, Vol 22, 498-500, Copyright © 1976 by The Society of Thoracic Surgeons
JH Kay, AM Mendez and P Zubiate
Is it necessary to replace the tricuspid valve or insert a tricuspid ring
for pure tricuspid insufficiency, or is repair satisfactory? In 96 of 113
patients with pure tricuspid insufficiency the tricuspid valve was repaired
by converting the incompetent three-leaflet valve into a two-leaflet one.
To avoid liver damage in these critically ill patients, the inferior caval
tie was omitted during the open-heart procedure. There have been 5 deaths
in the last 51 consecutive operations. Three patients developed recurrent
tricuspid insufficiency secondary to failure of the mitral repair or
replacement. It is concluded that tricuspid repair for pure tricuspid
insufficiency is a simple and excellent method for treating severe, pure
tricuspid insufficiency.
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