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  • The Authors' reply - Surgery for rheumatic mitral valve disease and the forgotten role of concomitant organic tricuspid valve impairment

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Correspondence
The Authors' reply - Surgery for rheumatic mitral valve disease and the forgotten role of concomitant organic tricuspid valve impairment
  1. Joon Bum Kim,
  2. Jae Won Lee
  1. Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea
  1. Correspondence to Dr Joon Bum Kim, Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, 88, Olympic-Ro 43-Gil, Songpa-Gu, Seoul 138-736, Republic of Korea; jbkim1975{at}amc.seoul.kr

http://dx.doi.org/10.1136/heartjnl-2012-303078

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    The Authors’ reply Dr Lentini raised the issue of rheumatic involvement of tricuspid valve (TV) in patients undergoing surgery for rheumatic mitral valve (MV) disease regarding our recently published paper.1 Although tricuspid regurgitation (TR) associated with MV disease is most likely ‘functional’ in nature, organic involvement of TV in rheumatic MV disease is reported as common, and its detection rate is affected by several factors, including the sensitivity of detection methods.2 Reviewing …

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    • Competing interests None.

    • Provenance and peer review Commissioned; internally peer reviewed.

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