Liberal use of tricuspid valve detachment for transatrial ventricular septal defect closure

Aeba, Ryo; Kobayashi, Toshiyuki; Hashizume, Kenichi; Koizumi, Kiyoshi; Iino, Yoshimi; Mori, Mitsuharu; Yozu, Ryohei

doi:10.1016/s0003-4975(03)00723-9

Cited by 20 publications

(20 citation statements)

References 8 publications

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“…However, tricuspid valve detachment has been previously shown excellent outcomes. [14][15][16][17] Our results also suggest the detachment was a safe…”

Section: Discussionmentioning

confidence: 70%

Total thoracoscopic repair of ventricular septal defect: A single‐center experience

Zhou

Yang

He³

et al. 2021

Journal of Cardiac Surgery

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Objectives: To explore the safety and efficacy of total thoracoscopic repair of ventricular septal defects (VSD). We compared clinical outcomes of VSD via a total thoracoscopic approach with those of mini-sternotomy. Methods:We retrospectively reviewed clinical data from patients with VSD from 2012 to January 2019. According to the surgical pattern, they were divided into two groups: the total thoracoscopic surgery group (36 patients, 27 females, aged 29 ± 9.52 years), and a mini-sternotomy group (31 patients, 12 females, aged 28 ± 8.67 years).Results: There were no deaths in either group. In the thoracoscopic group, cardiopulmonary bypass (CPB) time and aortic cross-clamping (ACC) time were significantly longer than those of the mini-sternotomy group (CPB time: 112 ± 23.16 min vs.

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“…However, tricuspid valve detachment has been previously shown excellent outcomes. [14][15][16][17] Our results also suggest the detachment was a safe…”

Section: Discussionmentioning

confidence: 70%

Total thoracoscopic repair of ventricular septal defect: A single‐center experience

Zhou

Yang

He³

et al. 2021

Journal of Cardiac Surgery

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“…Perhaps traditionalists remain concerned that detachment may increase the incidence of iatrogenic complications such as atrioventricular conduction block and tricuspid valve insufficiency. However, tricuspid valve detachment has been previously shown excellent outcomes [13][14][15][16] . Our results also suggest the detachment was a safe and effective technique.…”

Section: Discussionmentioning

confidence: 99%

Total thoracoscopic repair of ventricular septal defect: A single-center experience

Zhou

Yang

He³

et al. 2020

Preprint

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Objectives: To explore the safety and efficacy of total thoracoscopic repair of ventricular septal defects (VSD). We compared clinical outcomes of VSD via a total thoracoscopic approach with those of mini-sternotomy. Methods: We retrospectively reviewed clinical data from patients with VSD from 2012 to January 2019. According to the surgical pattern, they were divided into two groups: the total thoracoscopic surgery group (36 patients, 27 females, aged 29.08 ± 9.52 years), and a mini-sternotomy group (31 patients, 12 females, aged 28.39 ± 8.67 years). Results: There were no deaths in either group. In the thoracoscopic group, cardiopulmonary bypass (CPB) time and aortic cross-clamping (ACC) time were significantly longer than those of the mini-sternotomy group (

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“…Although temporary tricuspid valve detachment may improve the visualization of the ventricular septal defect, liberal use of this adjunct is not widely supported, mainly because of concerns about iatrogenic complications such as tricuspid valve dysfunction and heart block. 5 …”

Section: Discussionmentioning

confidence: 99%

“…In closing a VSD, temporary detachment of the tricuspid valve leaflets may provide better exposure of the defect in the usual trans-atrial approach. 5 However, this technique carries the risk of tricuspid valve dysfunction, which is discussed below.…”

Section: Introductionmentioning

confidence: 99%

Repair of very severe tricuspid regurgitation following detachment of the tricuspid valve

Mahgoub

Kamel

Simry

et al. 2015

Global Cardiology Science and Practice

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We report on the case of 5-year-old girl with severe tricuspid regurgitation following previous repair of double outlet right ventricle with subaortic ventricular septal defect, performed through trans-atrial approach using detachment of tricuspid valve leaflet. The severe tricuspid regurgitation was found to be due to dehiscence at the site of the previous detachment and was repaired using a pericardial patch. In this report, we discuss the relative merits and risks of using this technique.

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Liberal use of tricuspid valve detachment for transatrial ventricular septal defect closure

Cited by 20 publications

References 8 publications

Total thoracoscopic repair of ventricular septal defect: A single‐center experience

Total thoracoscopic repair of ventricular septal defect: A single‐center experience

Total thoracoscopic repair of ventricular septal defect: A single-center experience

Repair of very severe tricuspid regurgitation following detachment of the tricuspid valve

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