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Ann Thorac Surg 2004;78:1486-1488
© 2004 The Society of Thoracic Surgeons

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Tricuspid Valve Repair with Papillary Muscle Shortening for Severe Tricuspid Regurgitation in Children

Yoshio Ootaki, MD, PhD*,a, Masahiro Yamaguchi, MD, PhDa, Naoki Yoshimura, MD, PhDa, Shigeteru Oka, MD, PhDa, Masahiro Yoshida, MDa, Tomomi Hasegawa, MDa

a Department of Cardiothoracic Surgery, Kobe Children's Hospital, Kobe, Hyogo, Japan

Accepted for publication April 28, 2003.

* Address reprint requests to Dr Ootaki, 1-1-1 Takakuradai, Suma-ku, Kobe, Hyogo 654-0081, Japan
y.ootaki{at}nifty.ne.jp

We describe tricuspid valve repair using papillary muscle shortening for severe tricuspid regurgitation due to leaflet prolapse in children combined with De Vega annuloplasty. The papillary muscle was shortened until the prolapsed leaflet was at the same height as the other nonprolapsed leaflets. Although echocardiographic tricuspid regurgitation tends to increase over time, it rarely requires long-term intervention.






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Copyright © 2004 by The Society of Thoracic Surgeons.