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Addressing Severe Leaflet Tethering in Functional Tricuspid Regurgitation

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Functional Mitral and Tricuspid Regurgitation

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Abstract

Leaflet tethering occurs in functional tricuspid regurgitation due to remodeling of the right ventricle. It is distinct from tricuspid annular dilatation although the two pathologies may coexist. When present, it needs to be addressed during tricuspid valve repair to achieve long term durability of the repair. It is one of the risk factors for recurrent tricuspid regurgitation following tricuspid annuloplasty. Tricuspid valve replacement is a reasonable option in severe tricuspid regurgitation with severe leaflet tethering if valve repair is not possible.

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Authors and Affiliations

  1. Department of Cardiothoracic Surgery, Gleneagles Hospital, Jalan Ampang, Kuala Lumpur, 50450, Malaysia

    K. M. John Chan BM BS, MSc, PhD, FRCS CTh

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  1. K. M. John Chan BM BS, MSc, PhD, FRCS CTh
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Correspondence to K. M. John Chan BM BS, MSc, PhD, FRCS CTh .

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  1. Department of Cardiothoracic Surgery, Gleneagles Hospital, Kuala Lumpur, Malaysia

    Kok Meng John Chan

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Chan, K.M.J. (2017). Addressing Severe Leaflet Tethering in Functional Tricuspid Regurgitation. In: Chan, K. (eds) Functional Mitral and Tricuspid Regurgitation. Springer, Cham. https://doi.org/10.1007/978-3-319-43510-7_23

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  • DOI: https://doi.org/10.1007/978-3-319-43510-7_23

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43508-4

  • Online ISBN: 978-3-319-43510-7

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