Partial tricuspid valve transfer for repair of mitral insufficiency due to ruptured chordae tendineae Francisco Gregori, MD, Celso O Cordeiro, MD, Ulisses.

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Presentation transcript:

Partial tricuspid valve transfer for repair of mitral insufficiency due to ruptured chordae tendineae Francisco Gregori, MD, Celso O Cordeiro, MD, Ulisses A Croti, MD, Sergio S Hayashi, MD, Samuel S da Silva, MD, Thelma E.F Gregori, MD The Annals of Thoracic Surgery Volume 68, Issue 5, Pages 1686-1690 (November 1999) DOI: 10.1016/S0003-4975(99)00850-4

Fig 1 Removal of the posterior leaflet of the tricuspid valve, rendering it bicuspid. The specimen (lower) containing the leaflet, chordae tendinae, and the papillary muscle will be transferred to the mitral valve. The Annals of Thoracic Surgery 1999 68, 1686-1690DOI: (10.1016/S0003-4975(99)00850-4)

Fig 2 The intraoperative aspect after suture of the graft on the papillary muscle and the anterior leaflet of the mitral valve. The Annals of Thoracic Surgery 1999 68, 1686-1690DOI: (10.1016/S0003-4975(99)00850-4)

Fig 3 Removal of the graft from the anterior leaflet of the tricuspid valve with chordae tendineae and part of the papillary muscle. The Annals of Thoracic Surgery 1999 68, 1686-1690DOI: (10.1016/S0003-4975(99)00850-4)

Fig 4 The graft providing chordae to the anterior and posterior leaflets of the mitral valve. With this technique, rectangular resection of the prolapse of the posterior leaflet is avoided. The Annals of Thoracic Surgery 1999 68, 1686-1690DOI: (10.1016/S0003-4975(99)00850-4)

Fig 5 Intraoperative picture of the anterior leaflet of the mitral valve, removed after recurrence of mitral insufficiency of a patient presenting with infectious endocarditis at the fourth postoperative month. Arrows show the preserved anatomical structures next to the sutures. The Annals of Thoracic Surgery 1999 68, 1686-1690DOI: (10.1016/S0003-4975(99)00850-4)

Fig 6 Actuarial survival curve. The Annals of Thoracic Surgery 1999 68, 1686-1690DOI: (10.1016/S0003-4975(99)00850-4)

Fig 7 Actuarial event-free survival curve. The Annals of Thoracic Surgery 1999 68, 1686-1690DOI: (10.1016/S0003-4975(99)00850-4)