Comparison of the Tricuspid Valve Function with or without Tricuspid Valve Detachment in Closure of Ventricular Septal Defect VSD Closure with Tricuspid Valve Detachment


Abstract views: 1148 / PDF downloads: 218

Authors

DOI:

https://doi.org/10.5152/eurjther.2021.20054

Keywords:

Ventricular septal defect, tricuspid valve, tricuspid regurgitation

Abstract

Objective: Ventricular septal defect (VSD) is defined as a defect in the interventricular septum. It is the second most prevalent congenital heart disease following bicuspid aortic valve and makes up 5% of congenital heart diseases. Although most VSDs tend to close on their own in the first year of life, larger defects should be percutaneously or surgically closed to prevent right ventricular strain and right ventricular failure. Considering the frequency of the procedure, a safe and effective closure without tricuspid valve and atrioventricular node injury is vital. Methods: We retrospectively included 165 patients with a diagnosis of VSD who underwent surgical closure. Depending on the excised leaflet of the tricuspid valve, the patients were divided into two groups: 86 patients (Group 1) had their anterior leaflet excised, while 79 patients (Group 2) had their posterior leaflet excised. The diagnosis was based on the results of preoperative catheter angiography and echocardiography. Echocardiography was repeated on the 1st week, 1st month, and 6-12th month to evaluate postoperative residual VSD and postoperative tricuspid regurgitation. Results: The aortic cross-clamp time, cardiopulmonary bypass time, duration of intubation, length of stay in intensive care unit and hospital, postoperative residual VSD, postoperative tricuspid regurgitation, and postoperative morbidity and mortality were evaluated in patients in Groups 1 and 2. Tricuspid regurgitation or dysfunction was not detected in any group. Furthermore, no other parameters differed between two groups. Conclusion: Our study has shown that elaborate tricuspid leaflet incision for adequate visualization allows a safe and effective closure of VSD.

Metrics

Metrics Loading ...

References

Marelli AJ, Mackie A, Ionescu-Ittu R, Rahme E, Pilote L. Congenital heart disease in the general population: Changing prevalence and

age distribution. Circulation. 2007;115:163-172.

Russell HM, Forsberg K, Backer CL, Wurlitzer KC, Kaushal S, Mavroudis C. Outcomes of radial incision of the tricuspid valve for ventricular septal defect closure. Ann Thorac Surg. 2011;92(2):685-690.

Mavroudis C, Backer CL, Jacobs JP. Ventricular septal defect. In Mavroudis C, Backer CL (eds.): Pediatric Cardiac Surgery, 3rd ed.

Philadelphia, PA: Mosby Inc., 2003.

Idriss FS, Muster AJ, Paul MH, Backer C, Mavroudis C. Ventricular septal defect with tricuspid pouch with and without transposition.

Anatomic and surgical considerations. J Thorac Cardiovasc Surg. 1992;103:52-59.

Zhao J, Li J, Wei X, Zhao B, Sun W. Tricuspid valve detachment in closure of congenital ventricular septal defect. Tex Heart Inst J.

;30(1):38-41.

Gaynor JW, O’Brien JE Jr, Rychik J, Sanchez GR, DeCampli WM, Spray TL. Outcome following tricuspid valve detachment for ventricular

septal defects closure. Eur J Cardiothorac Surg. 2001;19:279-282.

Hudspeth AS, Cordell AR, Meredith JH, Johnston FR. An improved transatrial approach to the closure of ventricular septal defects. J

Thorac Cardiovasc Surg. 1962;43:157-165.

Pridjian AK, Pearce FB, Culpepper WS, Williams LC, Van Meter CH, Ochsner JL. Atrioventricular valve competence after takedown to

improve exposure during ventricular septal defect repair. J Thorac Cardiovasc Surg. 1993;106:1122-1125.

Tatebe S, Miyamura H, Watanabe H, Sugawara M, Eguchi S. Closure of isolated ventricular septal defect with detachment of the tricuspid valve. J Card Surg. 1995;10:564-568.

Bol-Raap G, Bogers AJJC, Boersma H, De Jong PL, Hess J, Bos E.Tem porary tricuspid valve detachment in closure of congenital

ventricular septal defect. Eur J Cardiothorac Surg. 1994;8:145-148.

Kapoor L, Gan MD, Bandyhopadhyay A, Das MB, Chatterjee S. Improved exposure of isolated perimembranous ventricular septal

defects. Ann Thorac Surg. 2000;69:291-292.

Scully BB, Morales DLS, Zafar F, McKenzie ED, Fraser CD Jr, Heinle JS. Current expectations for surgical repair of isolated ventricular

septal defects. Ann Thorac Surg. 2010;89:544-551.

Russell HM, Forsberg K, Backer CL, Wurlitzer KC, Kaushal S, Mavroudis C. Outcomes of radial incision of the tricuspid valve for ventricular septal defect closure. Ann Thorac Surg. 2011;92:685-690.

Zhao J, Li J, Wei X, Zhao B, Sun W. Tricuspid valve detachment in closure of congenital ventricular septal defect tex. Heart Inst J.

;30:38-41.

Maile S, Kadner A, Turima MI, Pretre R. Detachment of the anterior leaflet of the tricuspid valve to expose perimembranous ventricular septal defects. Ann Thorac Surg. 2003;75(3):944-946.

Downloads

Published

2021-06-28

How to Cite

Asam, M., & Kaya, E. (2021). Comparison of the Tricuspid Valve Function with or without Tricuspid Valve Detachment in Closure of Ventricular Septal Defect VSD Closure with Tricuspid Valve Detachment. European Journal of Therapeutics, 27(2), 113–117. https://doi.org/10.5152/eurjther.2021.20054

Issue

Section

Original Articles