Among the Treatment Options for Tricuspid Valve Disease Are Suture

Among the treatment options for tricuspid valve disease are suture annuloplasty,ring annuloplasty,and valve replacement with either a biologic or a mechanical prosthesis.Like the mitral valve,the tricuspid annulus is saddle-shaped and techniques to repair the valve should consider this anatomic configuration for optimal repair.Patients with significant tricuspid stenosis,regurgitation,or failed tricuspid (suture or ring) annuloplasty may require insertion of a prosthetic biologic or mechanical valve.Because there are no specific tricuspid prosthetic valves available,what type of prosthetic graft would be created or implanted?

A) An annuloplasty with a felt-pledgetted suture
B) A tricuspid annular permanent dilator
C) A mitral prosthesis
D) An annuloplasty ring