title: Commissuroplasty for the anterior commissure defect caused by tricuspid valve endocarditis using patch closure and modified placement of a rigid ring.
abstract: The anterior commissure defect of tricuspid valve may leave remnant regurgitation with inadequate leaflet coaptation after simple patch closure of the defect. A 19-year-old man underwent commissuroplasty for the anterior commissure defect caused by tricuspid valve endocarditis. Significant remnant regurgitation after patch closure of the anterior commissure defect was successfully solved by modified placement of an undersized rigid ring along the functional valve opening. The anterior horn of the rigid ring was affixed to the medial margin of the patch to reinforce the new commissure and enhance leaflet coaptation.
authors.forename: Jong Hun
authors.initials: JH
authors.lastname: Kim
authors.forename: Kyung Hwa
authors.initials: KH
authors.lastname: Kim
authors.affiliation: Department of Thoracic and Cardiovascular Surgery and Research Institute of Clinical Medicine, Chonbuk National University Medical School, 20 Geonji-Ro, Deokjin-Gu, Jeonju, Chonbuk 561-712, Republic of Korea. jobchoi@jbnu.ac.kr.
authors.forename: Jong Bum
authors.initials: JB
authors.lastname: Choi
authors.forename: Ja Hong
authors.initials: JH
authors.lastname: Kuh
mesh_terms: D000293:Adolescent; D006348:Cardiac Surgical Procedures / Q000379:methods; D004696:Endocarditis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D014463:Ultrasonography