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Interact CardioVasc Thorac Surg 2007;6:557. doi:10.1510/icvts.2007.159277B
© 2007 European Association of Cardio-Thoracic Surgery
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Domenico Scalia
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Best evidence topic - Valves

ICVTS on-line discussion B Which prosthesis in tricuspid position?

Domenico Scalia

via L. Configliachi 2, 35122 Padova, Italy

Should the tricuspid valve be replaced with a mechanical or biological valve?

eComment: First of all, I would like to congratulate the authors for their research [1]. In my opinion the choice for tricuspid replacement, after a methodical attempt of valve repairing, is dependent on the prosthesis used in the left side of the heart. In the exceptional cases of isolated tricuspid valve malfunction which needs valve replacement the choice is dependent, as usual, on the age, heart dimension, risk bleeding, and reliable aptitude to anticoagulation. Finally, with regard to patients treated with anticoagulants by some cardiologists even if they have bioprosthetic tricuspid valve, I guess that, more than atrial fibrillation, the reduced blood pressure on the right side of the heart and the dilated right ventricle can be the reason to justify long term anticoagulation.


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  1. Kunadian B, Vijayalakshmi K, Balasubramanian S, Dunning J. Should the tricuspid valve be replaced with a mechanical or biological valve? Interact CardioVasc Thorac Surg 2007; 6:551–557.[Abstract/Free Full Text]

Related Article

Should the tricuspid valve be replaced with a mechanical or biological valve?
Babu Kunadian, Kunadian Vijayalakshmi, Sankar Balasubramanian, and Joel Dunning
Interactive CardioVascular and Thoracic Surgery 2007 6: 551-557. [Abstract] [Full Text] [PDF]




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Domenico Scalia
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