title: [Leaflet Augmentation with an Autologous Pericardial Patch for Severe Functional Tricuspid Regurgitation].
abstract: An 85-year-old man, who had developed right-sided heart failure associated with isolated severe tricuspid regurgitation (TR), was referred to our institution to undergo cardiac surgery. Preoperative echocardiography revealed tricuspid annular dilatation and leaflet tethering, resulting in severe TR. The anterior leaflet was detached from the annulus with 1.5 mm margin for suture incorporation, and an autologous pericardial patch was sutured with 3 5-0 running interlocked sutures to augment the leaflet. Annuloplasty was then performed with an undersized ring. Postoperative echocardiography showed trivial TR with good coaptation of the tricuspid leaflets. This technique may be a therapeutic option for the surgical treatment of severe functional TR due to lack of leaflet coaptation.
authors.affiliation: Department of Surgery, Saiseikai Yamaguchi Hospital, Yamaguchi, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kurazumi
authors.forename: Toshiro
authors.initials: T
authors.lastname: Kobayashi
authors.forename: Hideharu
authors.initials: H
authors.lastname: Hironaka
authors.forename: Mitsutaka
authors.initials: M
authors.lastname: Jinbo
authors.forename: Naomasa
authors.initials: N
authors.lastname: Uesugi
authors.forename: Satoshi
authors.initials: S
authors.lastname: Saito
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Takahashi
authors.forename: Hidenori
authors.initials: H
authors.lastname: Gohra
mesh_terms: D000369:Aged, 80 and over; D064592:Autografts; D006801:Humans; D008297:Male; D010496:Pericardium / Q000637:transplantation; D014261:Tricuspid Valve / Q000601:surgery; D014262:Tricuspid Valve Insufficiency / Q000601:surgery*