[HSF] Tricuspid repair w/pulmonary hypertension

[Hgrmd at aol.com]

Ben,
  I agree.  Bolling recently stated that he knows of no heart  that does 
better with severe TR.  That mistaken mindset is similar to the  one stating that 
severe MR with poor LV function shouldn't be repaired for fear  of acutely 
increasing the afterload.  The real problem in those  cases is that replacement, 
rather than repair, produces acute progression  in adverse remodeling 
(increased sphericity).
Hal
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