Bioprosthetic valve excision without replacement in the tricuspid position in a patient with Libman-Sacks endocarditis.
A 19 year old girl with Systemic Lupus Erythematosus (SLE), in chronic renal failure and on haemodialysis, underwent tricuspid valve replacement with a Carpentier-Edwards xenograft because of a large calcified mass invading the right side of the heart. The mass caused no symptoms and had been discovered accidentally on a routine chest X-ray. The bioprosthetic valve had subsequently to be removed, having developed functional stenosis, and was not replaced. Despite the absence of a tricuspid valve, the patient remains well five years after the operation.
Ledingham
S J
SJ
Department of Cardiothoracic Surgery, Guy's Hospital, London, England.
Pellegrini
A
A
Deverall
P B
PB
D000328:Adult; D001705:Bioprosthesis / Q000009:adverse effects; D004696:Endocarditis / Q000209:etiology / Q000601:surgery*; D005260:Female; D006349:Heart Valve Diseases / Q000601:surgery; D006350:Heart Valve Prosthesis / Q000009:adverse effects; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications; D014261:Tricuspid Valve / Q000601:surgery