Tricuspid valve repair

Posted By Vicki on June 15, 1998 at 20:06:52:







My significant other, Rob, recently underwent cardiac catheterization.  We
were then told he suffers from tricuspid valve regurgitation, and needs to
have his tricuspid valve repaired.  We were told that the repair
consists of placing a ring around the valve to reduce its insufficiency,
and that the procedure is well-established and quite straight-forward as
cardiac surgeries go.  The cardiologist went on to say that since Rob's
condition is in the early stages (his symptoms are limited to mild shortness
of breath and fatigue)and his health is otherwise very good, he doesn't need
to rush into the surgery.  We are trying to process this information, and
make the best decision regarding the surgery.  
The Cleveland Clinic is one of three facilities the cardiologist recommended
for the surgery.  
What should we consider in choosing a facility and a surgeon, and how can
we get information on those considerations for each facility and surgeon?
How can we know what kind of annuloplasty should be done - for example, De
Vega's semicircular annuloplasty vs. adjustable annuloplasty? Are there
minimally invasive options available?  What can we do to evaluate the
risks?  Rob is an avid horseman, sailor, skier, hiker, swimmer and cellist.
The first time he was on roller blades (about 3 years ago), he skated 14
miles - at age 75.  Are there special considerations we need to be aware of
because of his age, even with his remarkable fitness?
Thank you very much for being willing to spend your time answering
questions in this forum.  It's a relief to have a venue such as this to
turn to, and we greatly appreciate your efforts!