Mitral homograft for tricuspid valve endocarditis complicating a congenital fistula between the right coronary artery and right ventricle.
The authors report a case of tricuspid endocarditis complicating a congenital coronary artery fistula to the right ventricle in an eight-year-old female. The patient underwent valve replacement using a cryopreserved mitral homograft. Six months later, clinical and echocardiographic status are excellent. Using a mitral homograft for tricuspid endocarditis is a recognized approach in adults, whereas in pediatric cases it is exceptional. Homografts could prove to be a valid procedure in children when repair is not feasible, although one could expect a more rapid deterioration.
Hopital Bichat, Chirurgie Cardio Vasculaire, Paris, France.
U
U
Hvass
E
E
Lansac
D
D
Chatel
I
I
Henri
D002648:Child; D003331:Coronary Vessels; D016997:Coxiella burnetii; D018618:Echocardiography, Doppler, Color; D004697:Endocarditis, Bacterial / Q000150:complications / Q000382:microbiology / Q000601:surgery*; D005260:Female; D005402:Fistula / Q000150:complications* / Q000151:congenital / Q000000981:diagnostic imaging; D005500:Follow-Up Studies; D006350:Heart Valve Prosthesis / Q000379:methods*; D006352:Heart Ventricles; D006801:Humans; D008943:Mitral Valve; D011655:Pulmonary Embolism / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D011778:Q Fever / Q000209:etiology / Q000601:surgery; D012008:Recurrence; D014184:Transplantation, Homologous; D014262:Tricuspid Valve Insufficiency / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*