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[Treatment of functional tricuspid insufficiency by a valvuloplasty with a flexible linear reducer].

Authors
Type
Published Article
Journal
Archives des maladies du coeur et des vaisseaux
Publication Date
Volume
72
Issue
3
Pages
263–267
Identifiers
PMID: 114136
Source
Medline
License
Unknown

Abstract

Valvuloplasty with preservation of the valvular apparatus is the treatment of choice in functional tricuspid incompetence (FTI). A new method of valvuloplasty has been developed using a flexible linear reducer (FLR); its insertion is simple and without risk to the Bundle of His. It is made of sections of elastomere covering a dacron core. The principle of the FLR is reduction of the tricuspid annulus leaving the septal leaflet free. It is a simple method which allows individual variations in the zone reduced (usually involving the anterior and inferior leaflets) and in the size of the reduction at each point. The excellent results at medium term in 20 patients with tricuspid FLR lead us to recommend widening the surgical indications for correction of FTI especially in cases where signs of right ventricular failure have been observed.

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