Dr Boris Orlov

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Secondary Tricuspid Regurgitation Geometrical alteration Geometrical alteration of the tricuspid apparatus are caused by interaction between: ٠altered tricuspid annulus size and shape, ٠ right ventricular remodeling, and ٠displacement of papillary muscles, which lead to leaflet tethering
Secondary Tricuspid Regurgitation Tricuspid Annular Dysfunction Kim et al. support this theory in an echocardiographic study of 75 patients with right ventricular dilatation. Predictive of the severity of secondary tricuspid regurgitation were: • eccentricity of the right ventricle • tricuspid valve tethering (tenting) area • end-diastolic tricuspid annular diameter Non significant predictive factors of the severity of secondary tricuspid regurgitation were: • the right ventricular dimensions • right ventricular function • pulmonary artery pressures All these suggesting that change in geometry of the right ventricle and the consequent papillary muscle displacement, is the critical factor in the pathophysiology of tricuspid regurgitation. Whereas such eccentric displacement of the ventricle is more likely to occur in the globally dilated ventricle, it can also occur in normal-sized ventricles Kim HK, Kim YJ, Park JS, et al.: Am J Cardiol 2006, 98:236–242.
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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
Page 47 and 48: When Should We Operate?
Page 49 and 50: 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
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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
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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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