title: Transtricuspid approach in redo surgery for post-infarction ventricular septal rupture.
abstract: A 59-year-old man, who had been treated using the infarction exclusion technique for inferior post-infarction ventricular septal rupture (VSR) 4 months previously, was readmitted because of deterioration of mitral valve regurgitation, residual shunt, and progression of pulmonary hypertension. We performed mitral valve replacement via the transseptal approach, patch closure of the defect via the transtricuspid approach, and tricuspid valve annuloplasty. The post-operative course was uneventful. The transtricuspid approach is useful in redo surgery for post-infarction VSR.
authors.affiliation: Department of Cardiovascular Surgery, Miyazaki Medical Association Hospital, 738-1 Funato, Shinbeppu-cho, Miyazaki 880-0834, Japan. furuk@cure.or.jp
authors.forename: Kouji
authors.initials: K
authors.lastname: Furukawa
authors.forename: Shizuko
authors.initials: S
authors.lastname: Iwasa
authors.forename: Takahiro
authors.initials: T
authors.lastname: Hayase
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Fukushima
authors.forename: Toshio
authors.initials: T
authors.lastname: Onitsuka
mesh_terms: D006328:Cardiac Catheterization; D058385:Cardiac Valve Annuloplasty; D006333:Heart Failure / Q000209:etiology / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D061330:Multidetector Computed Tomography; D009203:Myocardial Infarction / Q000150:complications*; D010496:Pericardium / Q000637:transplantation*; D012086:Reoperation; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D018658:Ventricular Septal Rupture / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*