title: Bacterial endocarditis of systemic atrioventricular valve (tricuspid valve) in corrected transposition and its surgical treatment.
abstract: We describe a case of congenitally corrected transposition of great arteries (CCTGA). Tricuspid valve replacement was performed due to valve dysfunction following bacterial endocarditis. After two weeks' antibiotic therapy haemodynamic stabilisation was obtained and the patient was operated in the third week. On cardiopulmonary bypass with 28 degrees C degree systemic hypothermia, the left atrium was approached transeptally. At exploration, the systemic atrioventricular valve was tricuspid valve and pulmonary atrioventricular valve was in shape of a mitral valve. The posterior leaflet of the tricuspid valve was ruptured and vegetations above it were observed. The valve was excised and a 29 mm St-Jude mechanical heart valve prosthesis implanted using a teflon reinforced separated suture technique. After operation the patient recovered rapidly and following six weeks' antibiotic therapy, the patient was discharged.
authors: Department of Cardiovascular Surgery, State Hospital, Samsun, Turkey.
authors: Haci
authors: H
authors: Akar
authors: Erkan
authors: E
authors: Iriz
authors: Ferşat
authors: F
authors: Kolbakir
authors: Atilla
authors: A
authors: Sarac
authors: Olcay
authors: O
authors: Sagkan
mesh_terms: D000328:Adult; D004697:Endocarditis, Bacterial / Q000150:complications* / Q000601:surgery*; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D013536:Suture Techniques; D014188:Transposition of Great Vessels / Q000150:complications*; D014261:Tricuspid Valve / Q000382:microbiology* / Q000601:surgery; D014262:Tricuspid Valve Insufficiency / Q000382:microbiology / Q000601:surgery*