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Percutaneous Tricuspid Valve Repair

Tricuspid valve insufficiency is a problem that occurs when the valve on the right side of the heart does not close completely. The oxygen level coming from the body will be low in this instance. While dark blood (venous) is pushed from the right side of the heart to the lungs to be oxygenated, not all of it can be pumped, and some of it returns via the valve to where it came from. Circulatory problems and blood accumulation (congestion) arise as a result of the backflow of unoxygenated blood with each heartbeat. Shortness of breath, swelling in the feet and belly, and liver enlargement are among symptoms we find in patients. Insufficiency of the tricuspid valve means that blood cannot flow effectively in the body through the lungs.

Symptoms of tricuspid regurgitation

Swelling in the belly and feet, as well as shortness of breath, are symptoms of this disease, which is tough to treat even with surgery. The swelling, commonly known as edema, gets worse over time. With the accumulation of fluid in the abdominal cavity, a very different abdominal swelling is added to the swelling, which is just in the feet at first. Shortness of breath is also added to these swellings at any stage of the disease. Patients begin to suspect that something is amiss with their bodies during this period.

Repair of the tricuspid valve

A procedure similar to angiography can be used to fix this valve. The valve ends that are not entirely closed are pulled closer to each other using a metal clip in this approach, which is called percutaneous tricuspid valve repair. The amount of leakage in the valve lowers dramatically after the treatment, and the patient’s problems subside.

How is the tricuspid valve repaired percutaneously?

The inguinal vein is used to access the heart valve that needs to be replaced from the outside. A conventional angiography process is remarkably similar to this one. In addition, a TEE ultrasonography probe is inserted into the esophagus through the mouth. The heart chambers and valves may be seen in great detail thanks to TEE. The patient is put to sleep for comfort because the orally placed catheter is utilized throughout the treatment. The tricuspid valve ends that are separated from one other by unique materials advanced in the inguinal veins are mended by bringing them closer together with ultrasound imaging and X-ray imaging (such as angiography).

The patient will not require any special care or medicine following the operation, and they will be able to resume their normal lives following discharge. The doctor can lessen the amount of medication depending on the benefit of the procedure to the patient who continues to use the drugs.

Is it possible to perform percutaneous tricuspid valve surgery on everyone?

Patients with extensive tricuspid valve leakage may benefit from percutaneous tricuspid valve repair if their complaints and symptoms are not managed by medication. However, the pulmonary blood pressure must not be too high for the operation to be successful, and the valves must be technically repairable. Patients are pre-evaluated for this purpose using procedures such as transthoracic echocardiography (TTE), transesophageal echocardiography (TEE), and even interventional pressure measurement from the pulmonary vein (cardiac catheterization). The technique is only conducted on people who are deemed to benefit from it and who are technically fit for it.

Percutaneous Tricuspid Valve Repair

Updated: 18 November 2021, 20:31