A tricuspid commissurotomy is an open-heart surgery that is performed for tricuspid valve stenosis treatment. This disease is accompanied by a narrowing of the heart valve opening, due to which it becomes more difficult for the heart to deliver blood from the right atrium to the right ventricle. An open commissurotomy is a rare type of treatment for the disease. This is due to the fact that it has been replaced by a minimally invasive balloon commissurotomy (balloon valvuloplasty).
Content
- The essence of the operation
- Who may need a commissurotomy?
This is an open surgical procedure, during which doctors dissect the fused heart valve leaflets to increase the heart valve area. The intervention is usually performed simultaneously with the surgical repair of other heart valves. Most often, the mitral valve is repaired.
You can seek medical attention at the University Hospital Oldenburg, the University Hospital Essen, or the University Hospital Ulm.
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The essence of the operation
A tricuspid commissurotomy is performed for tricuspid valve repair. This surgical procedure allows doctors to increase its area.
This is an open operation that uses a heart-lung machine. The surgery is performed through an incision in the center of the sternum.
Tricuspid stenosis is usually of rheumatic origin. As a result of the disease, the heart valve leaflets grow together. During a commissurotomy, cardiosurgery doctors dissect the adhesions, releasing the heart valve leaflets.
Who may need a commissurotomy?
Tricuspid valve surgery is indicated for severe symptomatic stenosis and for severe symptomless stenosis if doctors are simultaneously repairing other valvular heart disease.
Treatment options for the heart defect include the following:
- heart valve replacement surgery;
- heart valve repair surgery;
- balloon minimally invasive plastic surgery.
In most cases, stenosis is combined with tricuspid valve insufficiency. The most effective operation to eliminate them is heart valve replacement surgery.
Stenosis without valvular insufficiency is less common. In this case, a balloon valvuloplasty is considered the main treatment option because it is safer. This procedure is performed without a thoracotomy through an incision in the leg under X-ray guidance. The treatment option is safer with comparable success rates, is less likely to cause any complications, and provides patients with a shorter recovery time.
Tricuspid valve stenosis is often combined with defects in other heart valves. In this case, doctors have to perform an open surgery to restore or replace several heart valves with prostheses at once. It is in this situation that a tricuspid commissurotomy can be performed. Most often, it is done as an additional stage of a surgical intervention to restore the mitral valve.
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Authors:
The article was edited by medical experts, board-certified doctors Dr. Nadezhda Ivanisova and Dr. Vadim Zhiliuk. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!
Sources:
National Library of Medicine
American Heart Association
European Society of Cardiology