İçindekiler Tablosu

Tricuspid Valve Repair

Triküspid kapak tamiri, triküspid kapaktaki bozuklukların ileri derece olmadığı durumlarda mitral kapak onarılarak tedavi edilmesi sağlanır.

Hastanın triküspid kapağındaki problemin giderilmesinde eğer kapağın durumu uygunsa öncelikle tamirin tercih edilmesi gerekir. Çünkü hastanın kendi kapağıyla yaşamına devam etmesi yapay kalp kapağı ile değiştirilmesinden daha iyidir.

Genelde triküspid kapak tamirinin uygulanabilmesi için kalp kapakçık yapraklarının düzenli olması, kalp kapakçığı kaçağıyla birlikte darlığının olmaması, kapakçık üzerinde herhangi bir pıhtı veya pürüz olmaması, kapakçık yapraklarının birbirine rahatlıkla yaklaşabiliyor olması veya darlığının açılabildiğinde geriye kaçak yapmıyor olması gerekmektedir.

Surgery Duration

2-4 hours

Recovery Time

6-8 Months

Discharge Time

4-7 Days

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All About Heart Valve Surgeries

Prof. Dr. Yavuz Beşoğul

Problems such as tricuspid valve stenosis, tricuspid valve insufficiency, atresia and Ebstain anomaly may occur. The most common among these is stenosis in the tricuspid valve. Depending on the condition of the problem in the tricuspid valve, tricuspid valve repair or tricuspid valve replacement are among the treatment options.

Triküspid Kapak Nedir?

Tricuspid valve surgery, One of the four valves in the heart, the tricuspid valve, located between the right atrium and right ventricle, is the valve that ensures that dirty blood from different parts of the body passes from the right atrium to the right ventricle and that the blood does not leak back.

Tricuspid Valve Disease Treatment Methods

Treatment of tricuspid valve diseases involves repair or replacement. Valve repair can be performed in cases where the tricuspid valve structure and tissue is intact and the valve ring is enlarged. In cases of intense calcification and thickening in the tricuspid valve, the valve must be replaced. During the intervention, the patient's heart valve can be repaired or replaced with a minimally invasive technique, especially by entering from an area of 4 centimeters under the arm.

Tricuspid Valve Replacement

Tricuspid valve replacement is the replacement of the tricuspid valve with biological or mechanical artificial valves, which is applied in cases where the patient's tricuspid valve stenosis and insufficiency cannot be resolved by repair. It may be necessary to replace the valve in cases such as severe regurgitation or severe stenosis of the heart valves, sometimes both together, severe calcification of the valve, clot in front of the valve, or heart rhythm disturbance.

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Things to Consider After Tricuspid Valve Surgery

One of the most important issues after tricuspid valve surgery is that patients use blood thinners regularly as recommended by the physician. While the use of blood thinners for biological valve replacement is 3 months, patients must use blood thinners for life in mechanical valve replacement. In addition, it is extremely important to protect the patient from infections. In cases such as surgical interventions that may be due to another disease, it is important for the patient to contact the heart doctor and take preventive measures against infection. However, the patient must undergo regular medical check-ups in which the heart and heart valves are monitored.

As tricuspid valve diseases progress, it can cause swelling and edema in the legs, fluid accumulation and bloating in the abdomen. Early diagnosis is very important in the treatment of tricuspid valve diseases. In case of tricuspid valve problem detected at an early stage, necessary interventions are made with the appropriate treatment option.

Tricuspid Valve Disease Treatment Methods

Treatment of tricuspid valve diseases involves repair or replacement. Valve repair can be performed in cases where the tricuspid valve structure and tissue is intact and the valve ring is enlarged. In cases of intense calcification and thickening in the tricuspid valve, the valve must be replaced. During the intervention, the patient's heart valve can be repaired or replaced with a minimally invasive technique, especially by entering from an area of 4 centimeters under the arm.

Over 30 Years of Experience

Prof. Dr. Yavuz Beşoğul

Prof. Has More than 20 Years of Experience in the Field of Cardiovascular Surgery. Dr. Yavuz Beşoğul Improved and Treated the Health of Many Patients.

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Prof. Dr. Yavuz Beşoğul: Tricuspid Valve Surgeries Academic Statement

Tricuspid valve surgery; It is caused by the repair or replacement of the heart valve between the right atrium and the right ventricle. Repair is generally preferred over replacement. The reason is that it is prone to thrombosis formation. Surgery is feared and avoided because it is more common in patients who have had mitral valve surgery, and because the heart conduction system may be affected during the operation. Nowadays, minimally invasive techniques and performing them on a functioning heart reduce the risk to some extent. Repair or replacement of the functioning heart is performed by subaxillary thoracotomy.

Surgery Technique

The patient is placed on the left side of the chest under double lumen intubation and general anesthesia; That is, an anterolateral thoracotomy position is given with the chest on the right side. A vertical 6 cm incision is made on the intersection of the subaxillary line and the right breast line, pectoralis major and pectoralis minor. without cutting the muscles It is dissected and a retractor is placed. 3. The thorax is entered through the intercostal space and right lung ventilation is turned off or, if not tolerated, the tidal volume is reduced. The pericardium opens and its leaves hang on the chest wall. Aorta, right and left atrium are clearly seen. The aorta, right auricle, and right atrium are easily cannulated. The patient is connected to a heart-lung pump, providing extra-corporeal support for arterial blood pressure, and the vena cava is closed with a tourniquet while the heart is working.

End of Operation

A right atriotomy is performed and the atriotomy is closed after tricuspid repair or replacement while the heart is working. The heart is easily decannulated. After bleeding control, a single chest drain is placed in the thorax (the location of the drain is important to avoid pain), the ribs are brought closer, and the muscles, subcutaneous and skin are closed properly. Postoperative follow-up is important. Since diuresis and bleeding complications are generally common in these patients, close follow-up is required.

Frequently Asked Questions About Tricuspid Valve Surgery

Complaints of Tricuspid Valve Patients

Shortness of breath
Don't get tired easily
Rhythm Disorder
Tiredness
Edema and swelling in the leg

Diagnosis of Tricuspid Valve Disease

The test that should be performed in the definitive diagnosis of tricuspid valve disease is ultrasound, that is, echocardiography, of the heart. Information about the process of tricuspid valve surgery should be obtained from a specialist physician.

Causes of Tricuspid Valve Disease

Causes of tricuspid valve diseases include the following.

Rheumatic involvement of the tricuspid valve
connective tissue disorders
Stenosis or insufficiency in the mitral valve can cause problems in the tricuspid valve.
Congenital incomplete development and structural defect of the tricuspid valve
Congenital heart diseases or some lung diseases can cause tricuspid valve diseases.

Tricuspid Valve Disease Symptoms

Symptoms of Tricuspid Valve diseases are:

Shortness of breath
Don't get tired easily
Rhythm Disorder
Tiredness
Edema and swelling in the leg
enlargement of the liver

What Causes Tricuspid Regurgitation?

Tricuspid valve insufficiency is a rarer heart problem than mitral and aortic valve insufficiency. Signs and causes of tricuspid valve insufficiency or stenosis vary. The most common cause of tricuspid valve insufficiency in adults is rheumatic heart disease. However, congenital heart diseases, mitral valve stenosis or mitral insufficiency and COPD can also cause pulmonary valve insufficiency.

What is the Function of the Tricuspid Valve?

The function of the triscuspid valve, located between the right atrium and right ventricle, is to control the flow of blood. If the tricuspid valve, which has a 3-leaf structure, cannot fulfill its function, it causes problems such as dilation of the veins, liver enlargement, and edema formation in the abdomen and legs.

What Happens If I Don't Have Tricuspid Valve Surgery?

Postponing tricuspid valve surgery may cause disorders in heart and lung function, as well as enlargement of the liver. Tricuspid valve disease usually occurs due to rheumatic diseases, and rheumatic heart diseases are also likely to affect other heart valves. Failure to perform surgery in advanced tricuspid valve insufficiency may pose a life-threatening risk.

What are the Post-Surgery Risks?

In most tricuspid valve surgeries, valve repair is performed instead of valve replacement. After tricuspid valve surgery performed with minimally invasive surgery, risks related to the patient and the surgery are quite low. The risk of infection and complications is lower in minimally invasive surgery, and the time it takes for patients to return to their daily lives after surgery is shorter.

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