Tricuspid valve repair with patch augmentation is used to overcome the valve regurgitation caused by malcoaptation of leaflets. This video shows the technique used when the anterior leaflet is too thin to hold the suture line safely; the possibility of tearing the leaflet after cutting and suturing exists. The augmentation was made at the annular level with no contact on the leaflet itself. This technique ensures a much more secure repair, as the suturing is only on the fibromuscular tissue. An artificial chordal support to the flail leaflet technique is also demonstrated.
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Tricuspid valve disease
July 14, 2022
Pericardial constriction from expanded polytetrafluoroethylene (ePTFE) pericardial replacement membrane is rare. The condition should be considered in the differential diagnosis when a patient with a history of prior cardiac surgery presents with symptoms and signs of heart failure.
Aorto-Mitral Curtain Reconstruction with Multiple Bovine Pericardial Patches: A Case of Multiple Valve Infective Endocarditis
December 7, 2021
This is an original, narrated video demonstrating reconstruction of the aorto-mitral curtain with multiple bovine pericardial patches in a case of invasive aortic root endocarditis.
November 19, 2021
Impressive decrease of death (by approximaltely 40% !) in 2 years from a small RCT in elective structural heart surgery for degeneration. The assumption is a benefit by improvement in right ventricular dynamics
Papillary Muscle Cross-Control Technique to Overcome Excessive Leaflet Tethering in Complex Tricuspid Valve Repair
October 26, 2021
Severe leaflet tethering which is mainly the result of long standing Tricuspid valve regurgitation and RV dilatation is the main predictor of residual and/or recurrent valve insufficiency. We present the Novel technique of Papillary Muscle Cross Control which effectively overcomes the leaflet tethering in a very practical, simple , and reproducible manner by controlled approximation of the anterior papillary muscle to the posterior/septal part of the semi-rigid annuloplasty ring. The papillary cross-control technique is applicable both as a supplementary technique after ring annuloplasty for functional TR with tethered cusps and also for completing the repair in more complex cases of organic valve disease such as Ebstein Anomaly. Our early and late results with this technique has been quite encouraging.
October 1, 2021
A scholarly narrative on the utility of quantifying the performance of the right ventricle: the RV has been hitherto empirically assessed in many clinical setups.
June 4, 2021
On May 25, 2021, Dr. David Heimansohn successfully performed the first surgical implantation of biopolymer Tria™ heart valve in a patient with mitral valve disease at Ascension St. Vincent Hospital, Indianapolis, IN.
Long-Term Results After Aortic Valve Replacement for Bicuspid or Tricuspid Valve Morphology in a Swedish Population
March 25, 2021
Holmgren et al. report the long-term outcome of aortic valve replacement patients for bicuspid or tricuspid aortic valve pathologies within a Swedish cohort. In their analysis, patients with bicuspid valve morphology showed an independent association with improved outcome, even matching the general population´s prognosis.
March 23, 2021
In this video, the authors demonstrate the step-by-step approach to perform septal leaflet augmentation and several neochordae that allowed effective correction of severe tricuspid regurgitation with annular dilation and complex tethering of valve leaflets.
Effectiveness of Systematic Echocardiographic Screening for Rheumatic Heart Disease in Nepalese Schoolchildren: A Cluster Randomized Clinical Trial
February 4, 2021
Rheumatic heart disease (RHD) continues to be responsible for major cardiovascular morbidity and mortality in the developing world. It constitutes a double tragedy because it disproportionately affects economically disadvantaged people and young people, thereby robbing them of the most productive years of life.