'Four-leaflet clover repair' of severe tricuspid valve regurgitation due to complex lesions

Elisabetta Lapenna; Michele De Bonis; Francesco Maisano; Giuseppe Crescenzi; Giovanni La Canna; Lucia Torracca; Antonio Grimaldi; Ottavio Alfieri

doi:10.2459/JCM.0b013e3282f88d2d

'Four-leaflet clover repair' of severe tricuspid valve regurgitation due to complex lesions

Elisabetta Lapenna, Michele De Bonis, Francesco Maisano, Giuseppe Crescenzi, Giovanni La Canna, Lucia Torracca, Antonio Grimaldi, Ottavio Alfieri

IRCCS Ospedale San Raffaele

Research output: Contribution to journal › Article › peer-review

Abstract

We report the case of a 52-year-old man who was referred to surgery because of severe mitral and tricuspid regurgitation of Barlows disease. In particular, the tricuspid valve was a 'four-leaflet valve' due to the presence of a small accessory leaflet between the septal and the posterior leaflets. The valve insufficiency was determined by prolapse of all leaflets (in particular of the anterior and posterior ones) associated with annular dilatation. The patient underwent both mitral and tricuspid valve repair. The tricuspid regurgitation was corrected by stitching together the middle point of the free edges of the tricuspid leaflets producing a 'four-leaflet clover-shaped' valve. Surgical and echocardiographic images of the repaired valve are reported.

Original language	English
Pages (from-to)	847-849
Number of pages	3
Journal	Journal of Cardiovascular Medicine
Volume	9
Issue number	8
DOIs	https://doi.org/10.2459/JCM.0b013e3282f88d2d
Publication status	Published - Aug 2008

Keywords

Four-leaflet tricuspid valve
Tricuspid regurgitation
Tricuspid repair

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

Access to Document

10.2459/JCM.0b013e3282f88d2d

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'Four-leaflet clover repair' of severe tricuspid valve regurgitation due to complex lesions. / Lapenna, Elisabetta; De Bonis, Michele; Maisano, Francesco; Crescenzi, Giuseppe; La Canna, Giovanni; Torracca, Lucia; Grimaldi, Antonio; Alfieri, Ottavio.

In: Journal of Cardiovascular Medicine, Vol. 9, No. 8, 08.2008, p. 847-849.

Research output: Contribution to journal › Article › peer-review

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abstract = "We report the case of a 52-year-old man who was referred to surgery because of severe mitral and tricuspid regurgitation of Barlows disease. In particular, the tricuspid valve was a 'four-leaflet valve' due to the presence of a small accessory leaflet between the septal and the posterior leaflets. The valve insufficiency was determined by prolapse of all leaflets (in particular of the anterior and posterior ones) associated with annular dilatation. The patient underwent both mitral and tricuspid valve repair. The tricuspid regurgitation was corrected by stitching together the middle point of the free edges of the tricuspid leaflets producing a 'four-leaflet clover-shaped' valve. Surgical and echocardiographic images of the repaired valve are reported.",

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AU - Lapenna, Elisabetta

AU - De Bonis, Michele

AU - Maisano, Francesco

AU - Crescenzi, Giuseppe

AU - La Canna, Giovanni

AU - Torracca, Lucia

AU - Grimaldi, Antonio

AU - Alfieri, Ottavio

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AB - We report the case of a 52-year-old man who was referred to surgery because of severe mitral and tricuspid regurgitation of Barlows disease. In particular, the tricuspid valve was a 'four-leaflet valve' due to the presence of a small accessory leaflet between the septal and the posterior leaflets. The valve insufficiency was determined by prolapse of all leaflets (in particular of the anterior and posterior ones) associated with annular dilatation. The patient underwent both mitral and tricuspid valve repair. The tricuspid regurgitation was corrected by stitching together the middle point of the free edges of the tricuspid leaflets producing a 'four-leaflet clover-shaped' valve. Surgical and echocardiographic images of the repaired valve are reported.

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