The difficulties of surgical treatment of functional tricuspid insufficiency

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

UDC: 616.126.45-008.64-089
DOI: https://doi.org/10.24022/1810-0694-2019-20-11-12-874-884

Cite as: Skopin I.I., Latyshev M.S. The difficulties of surgical treatment of functional tricuspid insufficiency. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2019; 20 (11–12): 874–84 (in Russ.). DOI: 10.24022/1810-0694-2019-20-11-12-874-884

Received / Accepted: 12.07.2019/24.07.2019

Keywords: functional tricuspid insufficiency De Vega remodeling annuloplasty type IIIb tricuspid insufficiency

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Abstract

The results of various methods for correcting functional tricuspid insufficiency studied by the authors suggest that there is still no method that can fully protect patients from factors contributing to regurgitation return. The increase in regurgitation over time after an ineffective reconstruction of the tricuspid valve leads to a “point of no return” when the process of changing the ventricular architectonics becomes irreversible and the only treatment option for patients becomes reoperation, which is performed in conditions of severe intracardiac hemodynamic changes and is characterized by high mortality. The article presents an overview of the main surgical methods for correction of functional tricuspid insufficiency I and type IIIb (classification A. Carpentier).

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About the authors

Ivan I. Skopin, Dr. Med. Sc., Professor, Head of Department, Director of Institute of Coronary and Vascular Surgery, orcid.org/0000-0001-7411-202X
Mikhail S. Latyshev, Junior Researcher, orcid.org/0000-0003-1771-4264

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Chief Editor

Elena Z. Golukhova, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery

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