title: Use of a pericardial patch to bridge the conduction tissue during tricuspid valve replacement.
abstract: Tricuspid valve replacement carries a risk of causing complete heart block. To reduce this risk, a technique was developed to bridge the conduction system during prosthetic valve insertion in the tricuspid position. This technique, in which a pericardial patch is used to bridge the triangle of Koch, was performed successfully in 4 patients who underwent tricuspid valve replacement for Ebstein's anomaly of the tricuspid valve.
authors.affiliation: Division of Cardiothoracic Surgery, UCLA Medical Center 90024-1741.
authors.forename: E
authors.initials: E
authors.lastname: Milgalter
authors.forename: H
authors.initials: H
authors.lastname: Laks
mesh_terms: D002648:Child; D002675:Child, Preschool; D004437:Ebstein Anomaly / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006327:Heart Block / Q000517:prevention & control*; D006329:Heart Conduction System / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D010496:Pericardium / Q000637:transplantation*; D014261:Tricuspid Valve