Abstract
Tricuspid valve surgery in the presence of severe right ventricular dysfunction and pulmonary hypertension secondary to mitral valve stenosis is associated with poor early outcomes. We report the case of a young patient, presenting with severe chronic mitral-tricuspid disease responsible for long-lasting pulmonary hypertension and altered right ventricular function, who initially underwent mitral valve replacement and 7 days later the correction of her tricuspid insufficiency. This 2-staged approach permitted progressive reduction of pulmonary pressure and partial right ventricular remodeling before closing the systolic release valve of the right ventricle represented by tricuspid regurgitation.
Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
MeSH terms
-
Adult
-
Bioprosthesis
-
Chronic Disease
-
Echocardiography / methods
-
Female
-
Follow-Up Studies
-
Heart Valve Prosthesis
-
Heart Valve Prosthesis Implantation / methods*
-
Humans
-
Hypertension, Pulmonary / complications
-
Hypertension, Pulmonary / diagnosis*
-
Hypertension, Pulmonary / surgery
-
Mitral Valve / surgery
-
Mitral Valve Stenosis / complications
-
Mitral Valve Stenosis / diagnostic imaging
-
Mitral Valve Stenosis / surgery*
-
Reoperation / methods
-
Rheumatic Heart Disease / complications
-
Rheumatic Heart Disease / diagnostic imaging
-
Rheumatic Heart Disease / surgery
-
Risk Assessment
-
Treatment Outcome
-
Tricuspid Valve Insufficiency / complications
-
Tricuspid Valve Insufficiency / diagnostic imaging
-
Tricuspid Valve Insufficiency / surgery*
-
Ventricular Dysfunction, Right / complications
-
Ventricular Dysfunction, Right / diagnostic imaging
-
Ventricular Dysfunction, Right / surgery*
-
Ventricular Remodeling / physiology*