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You are here: Contents > 2015 > Volume 24 Number 3 May 2015 > TRICUSPID VALVE DISEASE > The Forgotten (Tricuspid) Valve: Third Time, Right Time

The Forgotten (Tricuspid) Valve: Third Time, Right Time

Kristof De Brabandere, Bram J. Amsel, Inez Rodrigus

Department of Cardiac Surgery, Antwerp University Hospital, Edegem, Belgium

Tricuspid regurgitation (TR) remains a challenging condition, the indication, timing and type of surgery for which are not yet well established. A 42-year-old woman was referred to the authors’ institution with recurrent, symptomatic TR at one year after she had undergone tricuspid valve repair for an Ebstein’s anomaly. At 14 months after the first surgery a bioprosthesis was implanted for a detached annuloplasty ring, and she made a complete recovery. However, at 15 months after valve replacement she presented again with right heart failure and massive TR due to rare early pannus


formation. A re-redo tricuspid valve replacement was performed. Tricuspid valve replacement with a bioprosthesis is a valid option if repair is unsuccessful. However, there is a need to be aware of concomitant problems such as a requirement for pacemaker implantation, the risk for prosthesis thrombosis or pannus formation, and the importance of anticoagulation therapy. Annual transthoracic echocardiographic follow up is advisable to exclude subclinical TR.

The Journal of Heart Valve Disease 2015;24:331-334

The Forgotten (Tricuspid) Valve: Third Time, Right Time

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