The Experts below are selected from a list of 2634 Experts worldwide ranked by ideXlab platform
Achi Ludomirsky - One of the best experts on this subject based on the ideXlab platform.
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Tricuspid Valve repair in children with hypoplastic left heart syndrome during staged surgical reconstruction.
Circulation, 1997Co-Authors: Aurelio Reyes, Edward L. Bove, Ralph S. Mosca, Thomas J. Kulik, Achi LudomirskyAbstract:Background The purpose of this study was to determine the incidence of moderate to severe Tricuspid Valve regurgitation in children with hypoplastic left heart syndrome (HLHS) undergoing staged surgical reconstruction, to assess the mechanisms responsible, and to evaluate the efficacy of surgical repair. Methods and Results We retrospectively reviewed clinical and echocardiographic data of 59 consecutive patients with HLHS operated on at our institution. Patients with a moderate or severe degree of Tricuspid regurgitation (≥2+) demonstrated by color flow Doppler echocardiography before the hemi-Fontan or Fontan operation who underwent Tricuspid Valve repair were included. Patients with HLHS and coexisting atrioventricular septal defect were excluded from the study. Severity of insufficiency was graded on a scale from 1 to 4+ by Doppler color flow mapping. Tricuspid Valve morphology, degree of Tricuspid Valve regurgitation, and right ventricular function were assessed before and after Tricuspid valvuloplasty. Eight patients (8/59; 14%) were found to have a minimum of 2+ Tricuspid Valve regurgitation before hemi-Fontan or Fontan operations. In five of eight patients (62%; Group A), the Valve was found to be myxomatous, thickened, and redundant. There were multiple regurgitant jets in three of five (60%) patients in this group. In three of eight patients (37%; Group B), the Valve had a normal echocardiographic appearance and regurgitation was the result of a lack of complete leaflet coaptation. All eight patients underwent Tricuspid valvuloplasty, and all experienced a decrease in regurgitation. In five of eight (62%) patients, there was a reduction in insufficiency of two grades of severity, and in three of eight (37%) patients, there was a one-grade improvement. Tricuspid Valve Stenosis was not documented in any of the patients after Tricuspid valvuloplasty. In seven of eight (87%) patients, right ventricular function was assessed as fair before Tricuspid valvuloplasty repair and improved to good in five of seven (71%) patients after the procedure. The remaining patient had good function both at baseline and after Tricuspid valvuloplasty. Conclusions Moderate to severe Tricuspid Valve regurgitation is a common finding in patients with HLHS undergoing staged surgical reconstruction and can result from either abnormal Valve morphology or incomplete leaflet coaptation. Tricuspid valvuloplasty during either the hemi-Fontan or Fontan stages of reconstruction carries a high success rate and is associated with improved right ventricular function.
M J M Cramer - One of the best experts on this subject based on the ideXlab platform.
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pacemaker lead induced severe Tricuspid Valve Stenosis
Circulation-heart Failure, 2010Co-Authors: Ruben Uijlings, Jolanda Kluin, Remy Salomonsz, Mark Burgmans, M J M CramerAbstract:A 73-year-old man had a DDD pacemaker implanted in 1991 for symptomatic high-degree atrioventricular block. Because of atrial lead dysfunction, a new atrial lead was implanted in 1998. Ten years later, the patient experienced unexplained ascites and edema with progressive exertional dyspnea, for which he was referred. Chest radiography showed a loop of the ventricular lead at the level of the Tricuspid Valve (Figure 1). Transthoracic echocardiography demonstrated an enlarged right atrium. The mean diastolic gradient across the Tricuspid Valve was 15 mm Hg with a peak pressure drop of 29 mm Hg without Tricuspid regurgitation (Figure 2). No other abnormalities were found. Transesophageal echocardiogram revealed looping of one of atrial leads at the …
James C Fudge - One of the best experts on this subject based on the ideXlab platform.
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pulmonary and Tricuspid valvuloplasty in carcinoid heart disease
Catheterization and Cardiovascular Interventions, 2018Co-Authors: Ashkan Karimi, Negiin Pourafshar, James C FudgeAbstract:A 26-year-old female with carcinoid heart disease consisting of severe pulmonary and Tricuspid Valve Stenosis was admitted with line associated sepsis. She recovered from sepsis with antibiotics and aggressive fluid resuscitation but became grossly volume overloaded with evidence of tense ascites and lower extremity edema. She developed worsening renal and hepatic function due to congestive nephropathy and hepatopathy, which did not respond to intravenous diuretics, and she was deemed too sick for surgical pulmonary and Tricuspid Valve replacement. Pulmonary and Tricuspid valvuloplasty was performed as a rescue measure to alleviate her congestive symptoms and improve her candidacy for Valve replacement. © 2016 Wiley Periodicals, Inc.
Kazuo Haze - One of the best experts on this subject based on the ideXlab platform.
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percutaneous transcatheter balloon valvuloplasty for bioprosthetic Tricuspid Valve Stenosis
Circulation, 2006Co-Authors: Kei Yunoki, Takahiko Naruko, Akira Itoh, Junko Ohashi, Kohei Fujimoto, Naoya Shirai, Koichi Shimamura, Ryushi Komatsu, Yuji Sakanoue, Kazuo HazeAbstract:A 59-year-old woman was admitted to our hospital because of exertional dyspnea, abdominal distension, and leg edema over the past 2 weeks. She had a history of rheumatic fever at the age of 12 years. In 1983, at the age of 37, she had undergone Tricuspid Valve replacement with a Carpentier-Edwards bioprosthesis for Tricuspid Stenosis and mitral Valve replacement with a mechanical Valve for mitral Stenosis. The physical examination on admission revealed marked edema in both legs. There was also presystolic pulsation of the liver, which was palpable 4 cm below the right costal margin. A Levine grade III/VI, rough, diastolic rumble at the lower left sternal border was accentuated during inspiration. Echocardiography revealed severe Tricuspid Stenosis and a large amount of ascites. The leaflets were thickened, …
Pascal Defaye - One of the best experts on this subject based on the ideXlab platform.
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pacemaker lead induced severe Tricuspid Valve Stenosis complete percutaneous extraction under extracorporeal life support
Europace, 2013Co-Authors: Romain Cassagneau, Peggy Jacon, Pascal DefayeAbstract:A 55-year-old man developed heart failure due to severe lead-induced Tricuspid Valve Stenosis, 16 years after implantation of a pacemaker. After undergoing percutaneous extraction of three leads under extracorporeal life support, he regained a normal functional status and Tricuspid and right ventricular functions, without requiring surgical repair.
