Trikuspidalinsuffizienz: Was tun? [Tricuspid valve insufficiency: what should be done?]

Détails

ID Serval
serval:BIB_C6FACA6EB7A0
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Trikuspidalinsuffizienz: Was tun? [Tricuspid valve insufficiency: what should be done?]
Périodique
Therapeutische Umschau
Auteur(s)
von Segesser  L. K., Stauffer  J. C., Delabays  A., Chassot  P. G.
ISSN
0040-5930 (Print)
Statut éditorial
Publié
Date de publication
12/1998
Volume
55
Numéro
12
Pages
767-72
Notes
English Abstract
Journal Article
Review --- Old month value: Dec
Résumé
Tricuspid regurgitation is relatively common. Due to the progress made in echocardiography, its diagnosis is in general made readily and in reliable fashion. Basically one has to distinguish between functional tricuspid valve regurgitation due to volume and/or pressure overload of the right ventricle with intact valve structures versus tricuspid valve regurgitation due to pathologic valve structures. The clear identification of the regurgitation mechanism is of prime importance for the treatment. Functional tricuspid valve regurgitation can often be improved by medical treatment of heart failure, and eventually a tricuspid valve plasty can solve the problem. However, the presence of pathologic tricuspid valve structures makes in general more specific plastic surgical procedures and even prosthetic valve replacements necessary. A typical example for a structural tricuspid valve regurgitation is the case of a traumatic papillary muscle rupture. Due to the sudden onset, this pathology is not well tolerated and requires in general surgical reinsertion of the papillary muscle. In contrast, tricuspid valve regurgitation resulting from chronic pulmonary embolism with pulmonary artery hypertension, can be improved by pulmonary artery thrombendarteriectomy and even completely cured with an additional tricuspid annuloplasty. However, tricuspid regurgitations due to terminal heart failure are not be addressed with surgery directed to tricuspid valve repair or replacement. Heart transplantation, dynamic cardiomyoplasty or mechanical circulatory support should be evaluated instead.
Mots-clé
Bioprosthesis Diagnostic Imaging Heart Valve Prosthesis Implantation Hemodynamic Processes/physiology Humans Image Processing, Computer-Assisted Prognosis Tricuspid Valve Insufficiency/diagnosis/etiology/*surgery
Pubmed
Création de la notice
28/01/2008 10:48
Dernière modification de la notice
20/08/2019 16:42
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