title: [Tricuspid Valve Replacement in a Case of an Adult Patient with Corrected Transposition of the Great Arteries；Report of a Case].
abstract: The patient was a 69-year-old man with corrected transposition of the great arteries. Chest X-ray abnormality had been pointed out since his childhood. Recently he was admitted with congestive heart failure. Examination revealed severe regurgitation of the tricuspid valve (systemic atrioventricular valve) with mild systemic ventricular dysfunction. After a median sternotomy, the operation was conducted with the surgeon standing on the patient's left side. Tricuspid valve was approached through left superior atriotomy. Tricuspid valve was facing almost dorsal to the patient, and there was a big cleft between anterior and posterior leaflets. Tricuspid valve replacement with a mechanical valve was performed with leaflets preserved. The patients had a favorable postoperative course.
authors.affiliation: Department of Cardiovascular Surgery, Yamanashi Prefectural Central Hospital, Yamanashi, Japan.
authors.forename: Takashi
authors.initials: T
authors.lastname: Harada
authors.forename: Yujiro
authors.initials: Y
authors.lastname: Yokoyama
authors.forename: Shinka
authors.initials: S
authors.lastname: Miyamoto
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Yamada
authors.forename: Masato
authors.initials: M
authors.lastname: Nakajima
authors.forename: Koji
authors.initials: K
authors.lastname: Tsuchiya
mesh_terms: D000368:Aged; D000080041:Congenitally Corrected Transposition of the Great Arteries; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000601:surgery; D014188:Transposition of Great Vessels / Q000150:complications*; D014261:Tricuspid Valve / Q000601:surgery*