Tricuspid valve replacement after orthotopic heart transplantation.
Atrioventricular valvular regurgitation is a known complication after cardiac transplantation. In this communication, we describe a case of progressively severe tricuspid insufficiency that ultimately necessitated tricuspid valve replacement. The patient has done well clinically since valve replacement, and a postoperative cardiac catheterization demonstrated normal right heart hemodynamics. A discussion of proposed causes and a review of the literature are provided.
Votapka
T V
TV
Department of Surgery, St. Louis University Medical Center, Missouri 63110-0250.
Appleton
R S
RS
Pennington
D G
DG
D009202:Cardiomyopathies / Q000601:surgery; D002648:Child; D016027:Heart Transplantation / Q000009:adverse effects*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D014261:Tricuspid Valve / Q000601:surgery; D014262:Tricuspid Valve Insufficiency / Q000209:etiology / Q000601:surgery*