Early bioprosthetic tricuspid valve stenosis due to size mismatch in Ebstein anomaly—Successful transcatheter treatment

2020 ◽  
Vol 35 (11) ◽  
pp. 3138-3140
Author(s):  
Michael D. Seckeler ◽  
Alison Bliss ◽  
Franz Rischard ◽  
Scott E. Klewer
Keyword(s):  
Tricuspid Valve ◽  
Ebstein Anomaly ◽  
Size Mismatch ◽  
Tricuspid Valve Stenosis

Repair of Rheumatic Tricuspid Valve Stenosis with Autologous Pericardium

2013 ◽  
Vol 16 (4) ◽  
pp. 187
Author(s):  
Ali Kemal Gür ◽  
Özgür Gürsu ◽  
Helin El ◽  
Esra Eker ◽  
Mustafa Etli
Keyword(s):  
Tricuspid Valve ◽  
Autologous Pericardium ◽  
Successful Method ◽  
Tricuspid Valve Stenosis

The aim of the present study was to describe a successful method for treating rheumatic tricuspid valve stenosis with autologous pericardium, commissurotomy, and a Kalangos ring without replacing the tricuspid valve.

scholarly journals Aseptic Endocarditis in Behçet's Disease Presenting as Tricuspid Valve Stenosis

2011 ◽  
Vol 41 (7) ◽  
pp. 399 ◽  
Author(s):  
Hyun Sang Lee ◽  
Won Suk Choi ◽  
Kyun Hee Kim ◽  
Jung Kyu Kang ◽  
Na Young Kim ◽  
...  
Keyword(s):  
Behçet’S Disease ◽  
Tricuspid Valve ◽  
Behcet’S Disease ◽  
Behçet's Disease ◽  
Behcet's Disease ◽  
Tricuspid Valve Stenosis

Impact of fetal haemodynamics on surgical and neurodevelopmental outcomes in patients with Ebstein anomaly and tricuspid valve dysplasia

2022 ◽  
pp. 1-12
Author(s):  
Min Bao ◽  
Edgar Jaeggi ◽  
Liqun Sun ◽  
Fu-Tsuen Lee ◽  
Renee Sananes ◽  
...  
Keyword(s):  
Tricuspid Valve ◽  
Motor Skills ◽  
Umbilical Vein ◽  
Brain Mri ◽  
Ascending Aorta ◽  
Neurodevelopmental Outcomes ◽  
Ebstein Anomaly ◽  
Descending Aorta ◽  
Neurodevelopmental Delay

Abstract Objectives: To evaluate the impact of fetal haemodynamics on surgical and neurodevelopmental outcomes in severe Ebstein anomaly and tricuspid valve dysplasia. Methods: Thirty-four fetuses with Ebstein anomaly/tricuspid valve dysplasia were referred from 2013 to 2019 for fetal echocardiography and clinical management. Nineteen fetuses with Ebstein anomaly/tricuspid valve dysplasia and 30 controls underwent cardiovascular magnetic resonance to quantify the fetal blood flow and to calculate cerebral oxygen delivery (cDO2) and consumption (cVO2). The 3D steady-state free precession acquisition was used to measure fetal brain volume. Surgical outcome, brain MRI, and neurodevelopmental follow-up were reviewed. Results: Twenty-six fetuses were live born (76%) and survival (65%) at a mean follow-up of 4 years. Nine fetuses had a brain MRI before discharge, and all had clinically silent injuries and volume loss. At 18 months, five single-ventricle patients had a neurodevelopmental delay in cognition and language (mean percentile: 11th), with gross-motor skills more affected than fine-motor skills (mean percentiles: 4th and 34th). Fetuses with Ebstein anomaly/tricuspid valve dysplasia had smaller brains, lower combined ventricular output, ascending aorta, superior caval vien and umbilical vein flows, lower oxygen saturation in ascending aorta and superior caval vien, lower cDO2 and cVO2 (p < 0.05). Superior caval vien/combined ventricular output and descending aorta/combined ventricular output ratios were lower in fetuses with circular shunt (p < 0.05). Fetuses requiring the Starnes procedure tended to have smaller brains, lower combined ventricular output, superior caval vien, descending aorta, and umbilical vein flows. Conclusions: All patients with Ebstein anomaly/tricuspid valve dysplasia are at high risk of neurodevelopmental delay and warrant follow-up. Fetal cardiovascular magnetic resonance revealed impaired brain growth with diminished cerebral blood flow and cDO2, the extenting dependent on the severity of the haemodynamic compromise.

scholarly journals Bioprosthetic tricuspid valve stenosis: a case series

2019 ◽  
Vol 3 (3) ◽  
Author(s):  
Kazuhito Hirata ◽  
Toshiho Tengan ◽  
Minoru Wake ◽  
Takanori Takahashi ◽  
Toru Ishimine ◽  
...  
Keyword(s):  
Valve Replacement ◽  
Tricuspid Valve ◽  
Venous Pressure ◽  
Case Series ◽  
Right Heart Failure ◽  
Tricuspid Valve Replacement ◽  
Native Valve ◽  
Late Sequela ◽  
High Doses ◽  
Tricuspid Valve Stenosis

Abstract Background Bioprosthetic tricuspid valve stenosis is a late sequela of tricuspid valve replacement (TVR); however, detailed information regarding its clinical picture is lacking. Case summary Thirty-one patients with bioprosthetic TVR (mean age: 60.5 ± 16.6 years, male/female: 11/20) were followed-up for 79.5 ± 49.1 months (14–188 months). Eleven patients developed bioprosthetic tricuspid valve stenosis (mean tricuspid gradient >5 mmHg) at a median interval of 96 months (interquartile range: 61–114 months). The mean tricuspid gradient at the time of tricuspid valve stenosis diagnosis was 10.9 ± 3.9 mmHg. Although the mid-term tricuspid valve stenosis-free survival was favourable (92.4% at 60 and 78.7% at 84 months), it had declined steeply to 31.5% by 120 months. Ten out of 11 tricuspid valve stenosis patients showed signs of right heart failure (RHF) as manifested by oedema and elevated jugular venous pressure, requiring moderate-to-high doses of diuretics. Diastolic rumble was audible in 10 patients. Five of the 11 tricuspid valve stenosis patients required redo TVR as a result of refractory RHF. Examination of the five excised bioprostheses showed pannus in four, fusion of the commissure in three, native valve attachment in two, and sclerosis in one. Detailed clinical pictures and pathology of the explanted valves in three cases that underwent surgery are presented in this case series. Discussion Bioprosthetic tricuspid valve stenosis is not uncommon after 8 years. Tricuspid valve replacement performed at the second surgery was associated with a higher incidence of bioprosthetic tricuspid valve stenosis.

scholarly journals Percutaneous balloon valvuloplasty because of bioprosthetic tricuspid valve stenosis

2011 ◽  
Vol 2 ◽  
pp. 178-181
Author(s):  
Maria Kordybach ◽  
Mirosław Kowalski ◽  
Marcin Demkow ◽  
Piotr Hoffman ◽  
Witold Rużyłło
Keyword(s):  
Tricuspid Valve ◽  
Balloon Valvuloplasty ◽  
Percutaneous Balloon ◽  
Percutaneous Balloon Valvuloplasty ◽  
Tricuspid Valve Stenosis
Sign in / Sign up

Export Citation Format

Share Document