[A case report of corrected TGA with ventricular septal defect, tricuspid valve regurgitation and atrioventricular block].
A 61-year-old woman was admitted for heart failure. She was diagnosed as corrected TGA with tricuspid regurgitation, perimembronous ventricular septal defect and atrioventricular block by echocardiography and cardiac catheterization. We chose tricuspid valve replacement with preservation of valve leaflet and subvalvular apparatus, direct closure of ventricular septal defect and implantation of permanent pacemaker (myocardial lead). Although IABP was needed for 24 hours, after that postoperative course was uneventful. It is preferable that tricuspid valve replacement with preservation of valve leaflet and subvalvular apparatus is applied to similar adult cases from standpoint of morphological structure.
Yamazaki
T
T
Department of Thoracic and Cardiovascular Surgery, Toyohashi Municipal Hospital, Japan.
Kobayashi
A
A
Ohara
K
K
Yamashita
M
M
Nakayama
M
M
Sugimura
S
S
Watanabe
K
K
D002304:Cardiac Pacing, Artificial; D006348:Cardiac Surgical Procedures; D005260:Female; D006327:Heart Block / Q000150:complications / Q000628:therapy*; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000628:therapy*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008875:Middle Aged; D014188:Transposition of Great Vessels / Q000150:complications / Q000628:therapy*; D014262:Tricuspid Valve Insufficiency / Q000150:complications / Q000628:therapy*