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Ann Thorac Surg 1994;58:1156-1160
© 1994 The Society of Thoracic Surgeons

Articles

Tricuspid valve repair for biopsy-induced regurgitation after cardiac transplantation

Arthur J. Crumbley, III, MD*, Adrian B. Van Bakel, MD

Divisions of Cardiothoracic Surgery and Cardiology, Medical University of South Carolina, Charleston, South Carolina, USA

Accepted for publication March 28, 1994.

* Address reprint requests to Dr Crumbley, Division of Cardiothoracic Surgery, Medical University of South Carolina, 171 Ashley Ave, Charleston, SC 29425-2279.

Tricuspid regurgitation is a recognized complication of cardiac transplantation. Damage to the tricuspid valve and subvalvar apparatus has been suggested as a possible cause. We have repaired the tricuspid valves of 2 patients in whom severely symptomatic tricuspid regurgitation developed after transplantation. Gore-Tex sutures were used to replace ruptured chordae anchoring the septal and posterior leaflets. The repair was supported with a Carpentier-Edwards ring. The repairs remain durable at 2 year and 3 years. Both patients demonstarted a similar lesion that we believe to be characteristic of endomyocardial biopsy-induced tricuspid regurgitation.




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