Plicated patch repair for acquired Gerbode defect involving the tricuspid valve.
Gerbode's defect, a left ventricular-to-right atrial communication, with involvement of the tricuspid valve acquired after bacterial endocarditis can be challenging to repair. We report a modified technique for a shunt closure and reconstruction of the tricuspid valve using a plicated bovine pericardial patch. Combining such a repair with a left ventricular patch resulted in a complete defect closure and competent tricuspid valve without regurgitation.
Matt
Peter
P
Heart Surgery Center Basel-Bern, University Hospital, Basel, Switzerland. pmatt@uhbs.ch
Winkler
Bernhard
B
Carrel
Thierry
T
Eckstein
Friedrich
F
D000328:Adult; D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000175:diagnosis / Q000601:surgery*; D001705:Bioprosthesis; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D017548:Echocardiography, Transesophageal; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000601:surgery*; D006192:Haemophilus Infections / Q000175:diagnosis / Q000601:surgery*; D019741:Haemophilus influenzae type b; D006324:Heart Arrest, Induced; D006343:Heart Septal Defects / Q000175:diagnosis / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis; D014261:Tricuspid Valve / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis / Q000601:surgery*