Dr Boris Orlov

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Systematic Tricuspid Valve Repair Rationale for Surgical Correction Lower long-term incidence of significant tricuspid regurgitation and better symptom status in patients having concomitant tricuspid valve repair at the time of mitral valve repair, and also the late occurrence of significant regurgitation in some patients who had a nondilated annulus at initial surgery, raises the question as to whether all patients should have a tricuspid repair at the time of mitral surgery <strong>Dr</strong>eyfus GD, Corbi PJ, Chan KM, Bahrami T: Ann Thorac Surg 2005, 79:127–132.
Systematic Tricuspid Valve Repair Rationale for Surgical Correction The low risk of tricuspid repair, high prevalence of late secondary tricuspid regurgitation, the inability to reliably predict which patients will develop secondary regurgitation, and the high mortality and morbidity associated with severe tricuspid regurgitation, it may ultimately prove beneficial to perform prophylactic tricuspid repair in most patients having mitral valve surgery regardless of the presence of annular dilatation or regurgitation Anyanwu A, Chikwe J, and David H. Adams, MD, Current Cardiology Reports 2008, 10:110–117
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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
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Surgical perspective of the tricusp
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Conceptual Classification of TV Ann
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Tricuspid Valve Semi- Flexible Ring
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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 and 102: Heart Team
Page 103 and 104: Tricuspid valve complex The tricusp
Page 106 and 107: MV 3-D Shape TV
Page 108 and 109: Surgical Techniques for Secondary T
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Dr Boris Orlov

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