Why the study?
Does pericardial reduction plasty guided by intraoperative echocardiography reduce tricuspid valve regurgitation in patients undergoing orthotopic heart transplantation?
Population
15 patients (14 male, 1 female) undergoing orthotopic heart transplantation
Comparison
Pericardial reduction plasty vs Simple closure of the pericardium
Design
Cohort
Follow-up
8 weeks
Authors
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May reduce post-transplant TVR; hypothesis-generating for size mismatch etiology, requiring randomized confirmation.
Does pericardial reduction plasty guided by intraoperative echocardiography reduce tricuspid valve regurgitation in patients undergoing orthotopic heart transplantation?
Pericardial reduction plasty guided by intraoperative echocardiography significantly reduces tricuspid valve regurgitation after orthotopic heart transplantation, suggesting size mismatch as a potential etiology.
Haverich et al. (1991) studied this question.
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