Tricuspid valve repair for biopsy-induced regurgitation in a heart transplant recipient

José L. Navia, Fernando A. Atik, Pablo Ruda Vega, Mario J. Garcia, Randall C. Starling, Gonzalo V. Gonzalez-Stawinski, Nicholas G. Smedira, Delos M. Cosgrove

Research output: Contribution to journalArticle

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Abstract

Tricuspid regurgitation (TR) is a frequent complication after heart transplantation. The etiology of TR is multifactorial, but biopsy-induced flail leaflet is one of the most important mechanisms. A 61-year-old woman underwent heart transplant, but experienced several rejection episodes which required multiple surveillance endomyocardial biopsies. At three months after transplant, she required tricuspid valve repair due to symptomatic severe TR. The anterior leaflet was flail, with rupture of primary and secondary chordae. Valve repair was performed with a triple leaflet edge-to-edge technique. The procedure consisted of suture fixation of the prolapsed anterior leaflet joining to the septal and posterior leaflets, and placement of a 30-mm annuloplasty ring. The patient was uneventfully discharged home on day 7 with trivial TR. At a four-years post-transplant evaluation, she was in NYHA functional class I, with preserved ventricular function and trivial TR. She has been followed closely because of post-transplant coronary artery disease.

Original languageEnglish (US)
Pages (from-to)264-267
Number of pages4
JournalJournal of Heart Valve Disease
Volume14
Issue number2
StatePublished - 2005
Externally publishedYes

Fingerprint

Tricuspid Valve Insufficiency
Tricuspid Valve
Biopsy
Transplants
Ventricular Function
Heart Transplantation
Sutures
Coronary Artery Disease
Rupture
Transplant Recipients

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Navia, J. L., Atik, F. A., Vega, P. R., Garcia, M. J., Starling, R. C., Gonzalez-Stawinski, G. V., ... Cosgrove, D. M. (2005). Tricuspid valve repair for biopsy-induced regurgitation in a heart transplant recipient. Journal of Heart Valve Disease, 14(2), 264-267.

Tricuspid valve repair for biopsy-induced regurgitation in a heart transplant recipient. / Navia, José L.; Atik, Fernando A.; Vega, Pablo Ruda; Garcia, Mario J.; Starling, Randall C.; Gonzalez-Stawinski, Gonzalo V.; Smedira, Nicholas G.; Cosgrove, Delos M.

In: Journal of Heart Valve Disease, Vol. 14, No. 2, 2005, p. 264-267.

Research output: Contribution to journalArticle

Navia, JL, Atik, FA, Vega, PR, Garcia, MJ, Starling, RC, Gonzalez-Stawinski, GV, Smedira, NG & Cosgrove, DM 2005, 'Tricuspid valve repair for biopsy-induced regurgitation in a heart transplant recipient', Journal of Heart Valve Disease, vol. 14, no. 2, pp. 264-267.
Navia JL, Atik FA, Vega PR, Garcia MJ, Starling RC, Gonzalez-Stawinski GV et al. Tricuspid valve repair for biopsy-induced regurgitation in a heart transplant recipient. Journal of Heart Valve Disease. 2005;14(2):264-267.
Navia, José L. ; Atik, Fernando A. ; Vega, Pablo Ruda ; Garcia, Mario J. ; Starling, Randall C. ; Gonzalez-Stawinski, Gonzalo V. ; Smedira, Nicholas G. ; Cosgrove, Delos M. / Tricuspid valve repair for biopsy-induced regurgitation in a heart transplant recipient. In: Journal of Heart Valve Disease. 2005 ; Vol. 14, No. 2. pp. 264-267.
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