google_counter
background_img

Cardiosurgery: Tricuspid valve stenosis — Tricuspid valve replacement (artificial or biological). Treatment

Tricuspid stenosis (TS) is a variation of heart defects affecting the tricuspid valve and narrowing  its holes. As a result of such deformation, the blood flow from the right atrium into the right ventricle is impeded and congestions in peripheral veins occur. Most often, the TS is combined with tricuspid insufficiency or stenosis of the heart valves. Isolated stenosis of the tricuspid valve is diagnosed in only 7% of cases. Typically, the TS is formed in the backdrop of rheumatic process. 

Conservative Treatment of Tricuspid Stenosis

For some time, the TS can be compensated by a hard work of myocardium, pushing blood through the narrowed opening, but this condition is decompensated quickly. At the first signs of venous, the surgical correction of the defect is recommended to the patient. 

In the course of preparation for surgery, the medical diet and conservative treatment is usually prescribed, which aims at improvement of the patient’s general condition, removal of stagnation and reduction of operative and postoperative risks. Depending on the clinical pattern, the following drugs are used:

  • diuretics;
  • cardiac glycosides;
  • venous vasodilators;
  • antithrombotic agents;
  • metabolic drugs;
  • beta-adrenergic blockers. 

Surgical Treatment of Tricuspid Stenosis

The surgery is preceded by a comprehensive examination, including an electrocardiogram, echocardiogram, X-ray, and cardiac catheterization subject to measurement of intracardiac pressure in various parts of the heart. The surgical treatment methods are selected individually, according to the degree of stenosis and combined heart disease. Most surgeries on the tricuspid valve are carried out using the cardiopulmonary bypass.

  • Commissurotomy is dissection of the fused leaflets. When required, the physician excises calcification, deforming the valve and interfering in its work. Upon combined tricuspid stenosis and mitral valve stenosis, both defects are corrected simultaneously.
  • Valve plastics is indicated for a combined defect, when it is combined with stenosis. Leaflet adhesions are dissected and the annulus is reinforced by sutures or support structure.
  • The prosthetics is used only in the case of gross violations of the valve structure. The valve elements are excised and replaced with implanted prosthesis. 

The postoperative prognosis depends on severity of stenosis and general condition of the patient. In European clinics, the long-term survival after surgery reaches 87%.

Read more
 

HELIOS Clinic for Heart Surgery Karlsruhe

9.9/10 from 17 Votes

Department of Cardiac Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #50043

The Department provides treanment for a whole spectrum of adult cardiac surgical diseases, with exception of the heart and lung transplantation.


location_onCountry: Germany
location_searchingCity: Karlsruhe

University Hospital Oldenburg

10/10 from 33 Votes

Department of Cardiac Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #361505

The Department of Cardiac Surgery offers the full range of services in this medical field. Many heart operations are performed minimally invasively, which has a positive effect on wound healing, the patient experiences less pain, and the period of hospitalization is significantly reduced.


location_onCountry: Germany
location_searchingCity: Oldenburg

University Hospital Cologne

9.8/10 from 82 Votes

Department of Cardiothoracic Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #78147

According to the Focus magazine rating of 2017, the Department of Cardiothoracic Surgery at the University Hospital Cologne ranks among the top German departments specializing in cardiac surgery! There are performed over 2,800 operations every year.


location_onCountry: Germany
location_searchingCity: Cologne
certificatecertificatecertificate

HELIOS Clinic Krefeld

9.7/10 from 38 Votes

Department of Adult and Pediatric Cardiovascular Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #383032

The Department of Adult and Pediatric Cardiovascular Surgery offers the full range of services in this medical focus. The department specializes in heart valves surgery, coronary artery bypass grafting, surgical treatment of cardiac arrhythmias and heart failure.


location_onCountry: Germany
location_searchingCity: Krefeld

University Hospital Muenster

9.8/10 from 78 Votes

Department of Congenital (CHD) and Acquired Heart Defects

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #139919

The Department of Congenital (CHD) and Acquired Heart Defects at the University Hospital Muenster is the first Center of Excellence specializing in the treatment of adults with congenital and acquired heart defects on both outpatient and inpatient basis. The second focus is the treatment of acquired defects (e. g.


location_onCountry: Germany
location_searchingCity: Muenster

University Hospital Frankfurt am Main

10/10 from 97 Votes

Department of Cardiac, Thoracic and Vascular Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #74733

According to the Focus magazine rating of 2017, the Department of Cardiac, Thoracic and Vascular Surgery ranks among the top German departments specializing in cardiac surgery! The department is a distinguished institution in this field of medicine.


location_onCountry: Germany
location_searchingCity: Frankfurt am Main
certificatecertificatecertificate

Hirslanden Clinic Aarau

9.9/10 from 15 Votes

Department of Cardiosurgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #89857

The cardiac surgery department of the Hirslanden clinic Aarau was rebuilt since Prof. Dr. med. Thierry Carrel and PD Dr. med Lars Englberger worked here. Both of them are recognized cardiac experts. Prof. Carrel is the director at Inselspital and PD Dr.


location_onCountry: Switzerland
location_searchingCity: Aarau
certificatecertificate

Hannover Medical School

9.8/10 from 43 Votes

Department of Cardiac, Thoracic, Transplantation and Vascular Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #245213

The Department of Cardiac, Thoracic, Transplantation and Vascular Surgery at the Hannover Medical School is famous for being one of the leading medical facilities in the world.


location_onCountry: Germany
location_searchingCity: Hannover

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Department of Cardiac Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #327456

The Department of Cardiac Surgery at Rambam Health Care Campus specializes in performing open and closed heart operations. There is offered a broad spectrum of surgical heart procedures, while the most common of these are coronary artery bypass surgery, valvular heart surgery and a combination of the two.


location_onCountry: Israel
location_searchingCity: Haifa

University Hospital Essen

9.6/10 from 23 Votes

Department of Thoracic and Cardiovascular Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #292043

The Department of Thoracic and Cardiovascular Surgery at the Essen University Hospital offers the full range of services in the treatment of heart diseases, requiring surgery, including transplant of chest organs, heart and lung support systems and aortic surgery.


location_onCountry: Germany
location_searchingCity: Essen

University Hospital RWTH Aachen

9.5/10 from 41 Votes

Department of Thoracic, Vascular Surgery and Cardiac Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #106289

The Department of Thoracic and Cardiovascular Surgery offers the entire spectrum of cardiothoracic surgery, including heart transplantation and the use of artificial heart systems. A special focus is on the development and the use of minimally invasive surgical techniques.


location_onCountry: Germany
location_searchingCity: Aachen
certificatecertificatecertificatecertificate

University Hospital Duesseldorf

9.5/10 from 71 Votes

Department of Cardiovascular and Thoracic Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #82689

The Department of Cardiovascular Surgery at the University Hospital Dusseldorf provides the whole range of cardiovascular medicine at the university level. The Department has a long and successful history. Since 1938 more than 50,000 cadiac surgeries were performed here.


location_onCountry: Germany
location_searchingCity: Duesseldorf
certificatecertificatecertificatecertificate

University Hospital Bonn

9.2/10 from 150 Votes

Department of Cardiac Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #88299

The Department of Cardiac Surgery offers the complete spectrum of cardiac surgery services except heart transplantation.


location_onCountry: Germany
location_searchingCity: Bonn
certificatecertificatecertificate

University Hospital Tuebingen

9.2/10 from 55 Votes

Department of Thoracic and Cardiovascular Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #137437

The range of surgical services of the Department of Thoracic and Cardiovascular Surgery at the University Hospital Tubingen covers all surgical and interventional operations in the corresponding fields up to the transplant surgery.


location_onCountry: Germany
location_searchingCity: Tuebingen
certificatecertificate

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

Department of Cardiac Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #154649

Performing annually more than 1000 surgeries on the heart, the department of cardiac surgery belongs to the largest centers of cardiac surgery in Munich. Here, the whole range of cardiovascular diseases is treated in adult patients, from emergency cases to heart attack.


location_onCountry: Germany
location_searchingCity: Munich

University Hospital Erlangen

9.1/10 from 51 Votes

Department of Сardiac Surgery

Surgical treatment of tricuspid valve disease with tricuspid valve replacement #255305

The Department of Сardiac Surgery at the University Hospital Erlangen specializes in the surgical treatment of end-stage heart failure, treatment with the use of mechanical hemodynamic support systems and heart transplant. The Department annually performs about 1,600 operations on heart and adjacent vessels.


location_onCountry: Germany
location_searchingCity: Erlangen
certificate




Feedback of our customers from other resources

Need Help?

Need Help?

Thank you!

We received your treatment application in the best Europe clinics. Our manager will contact you within the next 24 hours.