Dr Boris Orlov

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Severe tricuspid regurgitation The American College of Cardiology and American Heart Association guidelines recommend repair of all valves with severe tricuspid regurgitation in patients undergoing mitral valve surgery ACC/ AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease), Circulation 2006, 114:E84–E231. Despite this Most authorities would now recommend repairing the tricuspid valve in any patient with a less than severe tricuspid regurgitation undergoing any heart operation But this postulate is not completely correct too. Why?
Tricuspid valve complex The tricuspid annulus has a complex 3-dimensional dimensional structure, which differs from the more symmetric “saddle “saddle-shaped” shaped” mitral annulus. This distinct shape has implications for the design and application of currently available annuloplasty rings in the tricuspid position (most currently available rings are essentially planar). The novel approaches or rings tailored to the unique tricuspid annular shape might improve ventricular function and reduce leaflet stress. Fakuda S. et al., Circulation. 2006;114(suppl):I-492–I-498.
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Tricuspid Valve Repair for Treatmen
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Say well or be still (deflated?)
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Secondary Tricuspid Regurgitation B
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Current TV Repair & Replacement Vol
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Tricuspid Regurgitation Etiology TR
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Pathophysiology of Functional MR Th
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Pathophysiology of Functional MR Mi
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One-year mortality after MI: No IMR
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Ventricular interdependence Plays P
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Secondary Tricuspid Regurgitation H
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Secondary Tricuspid Regurgitation P
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Papillary Muscle Displacement Tricu
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Tricuspid valve complex The tricusp
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Mortality and morbidity associated
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Limited (no chance?) effectiveness
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Correlation between Annular Size an
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When Should We Operate? Dreyfus G.e
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Indications for Surgery
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Indications for Intervention in TV
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When Should We Operate?
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Secondary Tricuspid Regurgitation I
Page 51 and 52: Surgical perspective of the tricusp
Page 53 and 54: Conceptual Classification of TV Ann
Page 55 and 56: Tricuspid Valve Semi- Flexible Ring
Page 57 and 58: Cosgrove-Edwards Annuloplasty Band
Page 59 and 60: Types of TV repair rings Edwards MC
Page 61 and 62: Tri Tri-Ad Ad Ring Remodeling annul
Page 63: Echocardiographic Follow-up of Tric
Page 66 and 67: Advanced thinking
Page 68 and 69: Moderate tricuspid regurgitation Ra
Page 70 and 71: Incremental Risks Associated with T
Page 72 and 73: Secondary Tricuspid Regurgitation C
Page 74 and 75: TV Replacement Although repair is p
Page 76 and 77: Collaboration - Heart Team
Page 78 and 79: SURGEON’S VIEW We operate on TRIC
Page 80 and 81: תונמוא הז - האופר ול
Page 82 and 83: Relevance in the Percutaneous Era T
Page 84 and 85: Unanswered Questions
Page 87 and 88: Restrictive Ring Annuloplasty Addre
Page 89 and 90: Advanced surgical approaches for Ad
Page 91 and 92: Indications for TV Surgery Given th
Page 93 and 94: CUT BY ME 27.10.11
Page 95 and 96: This Presentation I met two problem
Page 97 and 98: Secondary Tricuspid Regurgitation P
Page 99 and 100: Secondary Tricuspid Regurgitation T
Page 101: Heart Team
Page 106 and 107: MV 3-D Shape TV
Page 108 and 109: Surgical Techniques for Secondary T
Page 110 and 111: Systematic Tricuspid Valve Repair R
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Dr Boris Orlov

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