Surgical correction of tricuspid insufficiency in dilated cardiomyopathy
Abstract Atrioventricular valve insufficiency in dilated cardiomyopathy is almost always the consequence of two interrelated factors: myocardial dilatation with the papillary muscle displacement toward the ventricular apex and connective tissue dysplasia of the valve apparatus (fibrous rings, leaflets and chord). During organ-sparing reverse cardiac remodeling in patients with dilated cardiomyopathy we in most cases perform tricuspid valve repair. In this paper we propose a reconstruction technique (right ventricular interpapillary distance plasty and two half-purse-string sutures on the fibrous ring) which has yielded positive long-term results of elimination of tricuspid insufficiency in 10 patients with dilated cardiomyopathy.
Keywords:dilated cardiomyopathy, reverse cardiac remodeling, tricuspid insufficiency, tricuspid valve repair
Clin. Experiment. Surg. Petrovsky J. 2015. № 3. Р. 31–35.
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