Surgical management of severe tricuspid regurgitation with portal hypertension and hypersplenism. Report of a case

The tricuspid regurgitation is a heart affection that frequently is associated to diseases of theleft side of the heart. It also obeys to different primary causes, among them, the infectiousendocarditis. Generally is well tolerated, the patient can arrive to cardiac surgery in an advancedstage of th...

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Published inRevista cubana de cardiologia y cirugia cardiovascular Vol. 17; no. 3; pp. 268 - 273
Main Authors Irma Matos Santos, Francisco Bacallao San Julián, Luis Miguel Morales Pérez, Roberto Núnez Fernández, Yohana Díaz Landeiro, Guillermo Pérez Román
Format Journal Article
LanguageSpanish
Published ECIMED 01.01.2011
Subjects
hypersplenism
portal vein hypertension
tricuspid regurgitation
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Summary:The tricuspid regurgitation is a heart affection that frequently is associated to diseases of theleft side of the heart. It also obeys to different primary causes, among them, the infectiousendocarditis. Generally is well tolerated, the patient can arrive to cardiac surgery in an advancedstage of the illness, with portal vein hypertension, hepatic and splenic cronic congestion. We present the case of a patient —with severe tricuspid regurgitation, post infectious endocarditis,with severe portal vein hypertension and secondary hypersplenism, pancytopeniaand deficit of the clotting factors V and VII—; that was surgically intervened of a tricuspidvalve substitution with extracorporeal circulation without the induction of cardiac arrest.
ISSN:0864-2168
1561-2937