title: [A case of tricuspid pouch associated with ventricular septal defect and functional left ventricular-right atrial communication].
abstract: We reported a 60-year-old woman with tricuspid pouch associated with ventricular septal defect and subsequent left ventricular-right atrial communication. Preoperative angiographic findings suggested the presence of membranous septal aneurysm, ventricular and atrial septal defects, and tricuspid insufficiency. However, at operation, besides perimembranous inlet type ventricular septal defect, a pouch, 1.5 cm in diameter was found in the adjacent part to the septal leaflet within the anterior one of the tricuspid valve. The ventricular septal defect was closed with a patch. From these findings, it is speculated that the tricuspid pouch was formed by the effect of jet stream through the ventricular septal defect.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Tachikawa General Hospital.
authors.forename: H
authors.initials: H
authors.lastname: Watanabe
authors.forename: K
authors.initials: K
authors.lastname: Maeda
authors.forename: T
authors.initials: T
authors.lastname: Minowa
authors.forename: T
authors.initials: T
authors.lastname: Shimasaki
authors.forename: T
authors.initials: T
authors.lastname: Shimanuki
authors.forename: S
authors.initials: S
authors.lastname: Kasuya
authors.forename: I
authors.initials: I
authors.lastname: Sakashita
authors.forename: S
authors.initials: S
authors.lastname: Takano
authors.forename: K
authors.initials: K
authors.lastname: Kato
mesh_terms: D003937:Diagnosis, Differential; D004697:Endocarditis, Bacterial / Q000150:complications; D005260:Female; D006322:Heart Aneurysm / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006345:Heart Septal Defects, Ventricular / Q000175:diagnosis / Q000601:surgery*; D006346:Heart Septum / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D013290:Streptococcal Infections / Q000150:complications; D013295:Streptococcus mutans / Q000302:isolation & purification; D014261:Tricuspid Valve / Q000002:abnormalities*