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Ann Thorac Surg 1985;39:489-491
© 1985 The Society of Thoracic Surgeons

Articles

Tricuspid Commissurotomy

Jose M. Revuelta, M.D., Ph.D.*, Raul Garcia-Rinaldi, M.D., Ph.D., C.M.G. Durán, M.D., Ph.D.

From the Centro Médico Nacional Valdecilla, University of Santander, Santander, Spain, and the Houston Heart Institute, Cardiovascular Surgery of Texas, Houston, TX

Accepted for publication August 28, 1984.

* Address reprint requests to Dr. Revuelta, Servicio de Cirugía Cardiovascular, Centro Médico Nacional Valdecilla, Santander, Spain

The technique of tricuspid commissurotomy is based on principles different from those employed in mitral valve commissurotomy. In performing tricuspid commissurotomy, it is essential to identify and split the fan chordae, which are always fused and which clearly delineate the fused commissures. Failure to do this can result in an incorrect commissurotomy and secondary massive insufficiency. Our technique of tricuspid commissurotomy, employed in 205 patients, is presented.




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