JTCS KCI
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Marc Ruel
Thierry Mesana
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Chan, V.
Right arrow Articles by Mesana, T.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Chan, V.
Right arrow Articles by Mesana, T.
Related Collections
Right arrow Valve disease

J Thorac Cardiovasc Surg 2009;137:e30-e32
© 2009 The American Association for Thoracic Surgery

Brief Communication

Surgical approach to repair of ruptured chordae tendineae causing tricuspid regurgitation

Vincent Chan, MDa, Dominique Grisoli, MDa, Marc Ruel, MD, MPHa,b, John Veinot, MDc, Thierry Mesana, MD, PhDa,*

a Division of Cardiac Surgery, University of Ottawa, Ottawa, Ontario, Canada
b Department of Epidemiology, University of Ottawa, Ottawa, Ontario, Canada
c Department of Pathology, University of Ottawa, Ottawa, Ontario, Canada

Received for publication March 6, 2008; accepted for publication March 17, 2008.

* Address for reprints: Thierry Mesana, MD, PhD, University of Ottawa Heart Institute, 3402–40 Ruskin Street, Ottawa, Ontario, Canada, K1Y 4W7. (Email: tmesana@ottawaheart.ca).

The first 20% of the full text of this article appears below.

Tricuspid regurgitation (TR) secondary to papillary muscle rupture is an uncommon surgical problem. We present 2 cases and offer an approach to surgical repair.

Clinical Summary

Case 1
An otherwise healthy 53-year-old man was referred to cardiac surgery for assessment of acute TR after a motor vehicle collision 6 months previously. Severe TR was noted on the patient's initial echocardiogram, but given his multiple injuries no attempt was made for immediate surgical repair. Progressive dilation of the right ventricle developed during the following several months, and repeat echocardiography revealed progressive dilation of his right ventricle. The patient was therefore brought to the operating room for elective tricuspid valve repair.

In the operating room, the patient was found to have an isolated flail of the anterior tricuspid leaflet secondary to ruptured chordae (Go Figure 1, A). The tricuspid valve was repaired with a combination of bicuspidization (Figure 1, B), edge-to-edge repair (Figure 1, C), and ring annuloplasty (Figure 1, D). Intraoperative echocardiography revealed a post-repair orifice area of . . . [Full Text of this Article]






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2009 by The American Association for Thoracic Surgery.