OBJECTIVE: A modified technique for tricuspid valve repair in @entity4924 restructures the valve mechanism at the level of the true tricuspid anulus by using the most mobile leaflet for valve closure without plication of the atrialized chamber. Midterm results of this therapeutic approach for @entity1 with @entity4924 and @entity997 are reported. METHODS: Between October 1988 and April 1997, the incompetent tricuspid valve was repaired with our technique in 19 @entity1 (12 female, 7 male; 2 to 54 years, mean 21 years). The indication for operation was @entity712 of various degrees in all @entity1 . @entity997 was grade II in two @entity1 , grade III in 14, and grade IV in three. Associated @entity600 were simultaneously repaired (interatrial communication in 18, @entity1757 in two, @entity849 in two, @entity3454 in one). Follow-up ranged between 10 and 103 months (median 28 months) and was complete for all @entity1 . RESULTS: There were no operative deaths. One @entity1 with @entity3457 and @entity1997 died 2 months after the operation of recurrent sepsis; there were no late deaths. During follow-up, New York Heart Association functional class improved from 2.8 before the operation to 1.9 without recurrent cyanosis, and @entity997 decreased from a mean grade of 3.1 to one of 0.9, without any echocardiographic deterioration of the tricuspid valve function or right ventricular dilation. CONCLUSIONS: Our technique allows tricuspid valve repair in @entity1 with @entity4924 , even in cases usually reserved for primary valve replacement, without late functional deterioration.

A modified repair technique for @entity997 in XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity1997 :: ('MESH:D008169', 'Disease') :: ['pulmonary abscess'] @entity712 :: ('MESH:D006333', 'Disease') :: ['congestive heart failure'] @entity1757 :: ('MESH:D006345', 'Disease') :: ['ventricular septal defect'] @entity600 :: ('MESH:D000014', 'Disease') :: ['congenital malformations'] @entity3454 :: ('MESH:D008945', 'Disease') :: ['mitral valve prolapse'] @entity849 :: ('MESH:D011666', 'Disease') :: ['pulmonary stenosis'] @entity997 :: ('MESH:D014262', 'Disease') :: ['tricuspid valve incompetence', 'Tricuspid incompetence', 'tricuspid incompetence'] @entity4924 :: ('MESH:D004437', 'Disease') :: ["Ebstein's anomaly"] @entity3457 :: ('OMIM:612348', 'Disease') :: ['active endocarditis']
@entity4924 :: (MESH:D004437,Disease) :: ['Ebstein's anomaly']
