Sliding tricuspid valvuloplasty for severe tricuspid regurgitation after corrective surgery of a ventricular septal defect.
We encountered a case of massive tricuspid regurgitation after corrective surgery for a ventricular septal defect. Fixation of the septal leaflet to the ventricular septum at the point where it was closed with a pericardial patch and marked annular dilatation were the lesions contributing to the severe tricuspid regurgitation. The posterior leaflet of the tricuspid valve was excised from the tricuspid annulus, slid to the adhering septal leaflet, and then reattached to a safe area of the septal leaflet to prevent conduction disturbance. The sliding repair was supported by annuloplasty with a Carpentier-Edwards ring, and a concomitant right-sided Maze procedure was conducted for atrial flutter.
Totsugawa
Toshinori
T
Department of Cardiovascular Surgery, Cardiovascular Institute Sakakibara Hospital, 2-1-10 Marunouchi, Okayama 700-0823, Japan. toshinoritotsugawa@mac.com
Kuinose
Masahiko
M
Tsushima
Yoshimasa
Y
Yoshitaka
Hidenori
H
Ishida
Atsuhisa
A
Minami
Hitoshi
H
D001022:Aortic Valve Insufficiency / Q000601:surgery; D002648:Child; D004452:Echocardiography; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D012086:Reoperation; D012720:Severity of Illness Index; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*