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Valve reconstruction or replacement for long-term biopsy-induced tricuspid regurgitation following heart transplantation
Authors:Th. Wahlers  J. AIbes  K. Pethig  P. Oppelt  H. G. Fieguth  M. Jurmann  B. Hausen  S. Demertzis  H. G. Borst
Affiliation:Department of Cardiothoracic Surgery, Hannover Medical School, D-30623 Hannover, Germany Tel.+495115322159, 2198, 2259;Fax +495115325404
Abstract:Abstract  Tricuspid regurgitation following heart transplantation can become a severe problem in a subset of patients, where medical therapy fails. Operative findings are described and results of subsequent results with surgical intervention including repair and replacement are analysed. Although follow-up is short, tricuspid replacement seems superior to reconstruction following heart transplantation. Best results are obtained, if replacement is performed, before right ventricular function deterioates.
Keywords:Tricuspid value failure    Valve reconstruction    Valve replacement    endomy ocardial biopsies
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