Transcatherer Tricuspid repair

[dornole]

Thought this study might be of interest to anyone with tricuspid regurgitation. Dr. Sorajja is my cardiologist so I got this email about the study.

https://mplsheart.org/news/minneapo...=pardot&utm_medium=organic&utm_campaign=enews

 

[uncle_boko]

On 24 March, I had minimally invasive mitral and tricuspid valve repair, together with a couple of side procedures at the Cleveland Clinic in London UK. I spent 6 days in ICU until my heart rhythm returned to speed. I was discharged after another 4 days on the "ward" yesterday. My muscles are coming back to life with associated pain management in place. I notice that my upper arm muscles intermittantly give some pain, and I also feel quite tired for most of the day at the moment.

 

[Chuck C]

On 24 March, I had minimally invasive mitral and tricuspid valve repair, together with a couple of side procedures at the Cleveland Clinic in London UK. I spent 6 days in ICU until my heart rhythm returned to speed. I was discharged after another 4 days on the "ward" yesterday. My muscles are coming back to life with associated pain management in place. I notice that my upper arm muscles intermittantly give some pain, and I also feel quite tired for most of the day at the moment.

Welcome to the forum Uncle Boko.

Were these repairs done via transcatheter or some other minimally invasive technique? Minimally invasive can be transcatheter, but it can also mean a smaller opening is made in the chest or ribs than a full sternotomy.

 

[tom in MO]

On 24 March, I had minimally invasive mitral and tricuspid valve repair, together with a couple of side procedures at the Cleveland Clinic in London UK. I spent 6 days in ICU until my heart rhythm returned to speed. I was discharged after another 4 days on the "ward" yesterday. My muscles are coming back to life with associated pain management in place. I notice that my upper arm muscles intermittantly give some pain, and I also feel quite tired for most of the day at the moment.

Glad to hear you are successfully in recovery.

If your operation was like mine, for 5 hours they had my arm strapped down on a "plank" to keep all the lines place. I had pretty bad pain in my left shoulder afterwards. They gave me a heating pad for my stay in the hospital and I got a daily visit from a physical therapist who taught me some daily exercises. It took a few months for it to get back to normal.

 

[uncle_boko]

My Procedure Description:
Mitral Valve Repair:
Two neochords (CV4 with pledget) to P2. Mitral Annuloplasty Ring (Carpentier-Edwards
Mitral Physio II Ring Size 36 MM)

Tricuspid Valve Repair:
Tricuspid Annuloplasty with Carpentier Edwards Physio II Tricuspid Ring size 32 MM.

AF Ablation:
Cox Maze Set lesions performed using Atricure Cryoprobe.
Closure of Left Atrial Appendage:

Surgical closure with double layered 4/0 prolene suture.

Post-operative TOE: Good mitral and tricuspid valve repair. Complete closure of left atrial
appendage.

Post-op I developed AV block (PR prolongation then junctional rhythm requiring back
up VVI pacing.
Then long cycle AV Wenckebach with normal QRS, and normal sinus rates ). However I
was ambulating without difficulty with heart rate in the 90s. This resolved without the
need for PPM implantation. Prior to discharge his rhythm showed 1:1 AV conduction with
ventricular rate 95-100bpm and occasional VEs which appear to be left fascicular in origin
but not coupling . His pacing wires were removed.
Pre-discharge TTE showed normal LV cavity size with mildly impaired systolic function
LVEF 40-45%. Normal RV size and systolic function. MV mean gradient 3mmHg with no
MR. Well seated TV annuloplasty with no TR and a dilated left atrium.
Anticoagulation by way of Apixaban was commenced.