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Related Concept Videos

Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
Mitral Regurgitation III: Medical Management01:25

Mitral Regurgitation III: Medical Management

Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...

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Related Experiment Video

Updated: May 10, 2026

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
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Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

Published on: February 11, 2022

Adjustable tricuspid annuloplasty.

Hiroshi Iida1, Toru Sunazawa, Syunichi Kondo

  • 1Department of Cardiovascular Surgery, Hayama Heart Center, Kanagawa, Japan.

Interactive Cardiovascular and Thoracic Surgery
|July 4, 2013
PubMed
Summary

A new tricuspid annuloplasty technique using a flexible band and an ePTFE thread effectively repaired functional tricuspid regurgitation (TR) in 11 patients, significantly reducing regurgitation severity post-procedure.

Keywords:
Functional tricuspid regurgitationTricuspid annuloplastyTricuspid valve insufficiency

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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Published on: February 8, 2022

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Last Updated: May 10, 2026

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
08:42

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Published on: February 11, 2022

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
07:41

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Published on: February 8, 2022

Area of Science:

  • Cardiovascular Surgery
  • Medical Devices
  • Cardiac Repair

Background:

  • Functional tricuspid regurgitation (TR) repair methods remain debated.
  • Novel surgical approaches are needed to address TR effectively.

Purpose of the Study:

  • To introduce and evaluate a novel tricuspid annuloplasty technique for functional TR.
  • To assess the efficacy of this new method in reducing tricuspid regurgitation.

Main Methods:

  • A flexible annuloplasty band with an ePTFE thread (CV3) was secured to the tricuspid annulus.
  • The thread was externalized and snared post-cardiopulmonary bypass under transesophageal echocardiogram guidance.
  • The technique was applied to 11 patients with severe functional TR (mean grade 3.4 ± 0.8).

Main Results:

  • The mean tricuspid annulus circumference was reduced to 86.5 ± 4.6 mm (diameter 27.6 ± 1.5 mm).
  • Postoperative TR was trivial or absent in 9 patients and Grade 1 in 2 patients at discharge.
  • The novel annuloplasty demonstrated significant reduction in TR severity.

Conclusions:

  • This flexible annuloplasty band technique shows promise for minimizing residual regurgitation in functional TR.
  • The method offers a potentially effective solution for challenging TR cases.
  • Further studies are warranted to confirm long-term outcomes.