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Surgical treatment of tricuspid valve insufficiency promotes early reverse remodeling in patients with axial-flow left ventricular assist devices  Simon.

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Presentation on theme: "Surgical treatment of tricuspid valve insufficiency promotes early reverse remodeling in patients with axial-flow left ventricular assist devices  Simon."— Presentation transcript:

1 Surgical treatment of tricuspid valve insufficiency promotes early reverse remodeling in patients with axial-flow left ventricular assist devices  Simon Maltais, MD, PhD, Yan Topilsky, MD, Vakhtang Tchantchaleishvili, MD, Stephen H. McKellar, MD, MSc, Lucian A. Durham, MD, PhD, Lyle D. Joyce, MD, PhD, Richard C. Daly, MD, Soon J. Park, MD, MSc  The Journal of Thoracic and Cardiovascular Surgery  Volume 143, Issue 6, Pages e1 (June 2012) DOI: /j.jtcvs Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Concomitant TV repair during implantation of a HeartMate II device (Thoratec Corp, Pleasanton, Calif) using a modified Kay stitch. A, Severe TR resulted from scattered adhesions between the implantable cardioverter defibrillator lead and the septal leaflet of the TV. B, The valve leaflet was carefully cut to free the implantable cardioverter defibrillator lead. The remaining edges were reapproximated using 5-0 Prolene sutures. The implantable cardioverter defibrillator lead was placed at the commissure between the septal and posterior leaflets. A 4-0 Prolene suture was placed to plicate the tricuspid annulus at the posteroseptal commissure to reduce the effective annulus of the TV (modified Kay stitch). The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Kaplan–Meier estimate of survival in patients with or without a TVP. Kaplan–Meier estimate comparing patients with or without a concomitant TVP at the time of the HeartMate II device implantation. TR, Tricuspid regurgitation. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

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