Transcatherer Tricuspid repair

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

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.

uncle_boko said:

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.

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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.

uncle_boko said:

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.

Click to expand...

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.

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.