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J Thorac Cardiovasc Surg 2003;126:1220-1221
© 2003 The American Association for Thoracic Surgery

Brief communication

Surgically created double orifice repair of tricuspid regurgitation in infants with congenital heart disease

Toyoki Fukuda, MDa,*, Ichiro Kashima, MDa, Shigeki Yoshiba, MDb

a Division of Cardiovascular Surgery, Tokyo, Japan
b Division of Pediatric Cardiology, Tokyo Metropolitan Kiyose Children's Hospital, Tokyo, Japan

Received for publication January 28, 2003; accepted for publication March 11, 2003.

* Address for reprints: Toyoki Fukuda, MD, Division of Cardiovascular Surgery, Tokyo Metropolitan Kiyose Children's Hospital, 1-3-1 Umezono, Kiyose-shi, Tokyo 204-8567, Japan
fukuda@chp-kiyose-tokyo.jp

The first 20% of the full text of this article appears below.

Repair of tricuspid regurgitation (TR) in infants with congenital heart disease (CHD) is frequently associated with postoperative morbidity. Annuloplasty is a well-established surgical procedure for TR and is associated with a satisfactory postoperative outcome provided the deformity of the tricuspid leaflet is mild. However, in the presence of severe leaflet deformity, the reparative procedure remains a surgical challenge. The present study describes our experience with the surgically created double orifice repair of the tricuspid valve in infants with CHD and significant TR.

Clinical summary

Patient 1
A 7-month-old male infant was referred to our hospital at 1 month of age with the diagnosis of double outlet from the right ventricle, pulmonary hypertension, TR, and bronchial stenosis. At 2 months of age, the clinical condition deteriorated progressively due to respiratory tract infection. Although he underwent pulmonary artery banding (PAB) at 3 months of age, weaning from the respirator was unsuccessful. At 7 months of age, he underwent a definitive operation, in which intraventricular rerouting was established with a 0.4-mm Gore-Tex patch (W. L. Gore & Associates, Inc, Flagstaff, Ariz) connecting the left ventricle with the aorta. . . . [Full Text of this Article]




This article has been cited by other articles:


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Y.-Q. Lai, X. Meng, T. Bai, C. Zhang, Y. Luo, and Z.-G. Zhang
Edge-to-Edge Tricuspid Valve Repair: An Adjuvant Technique for Residual Tricuspid Regurgitation
Ann. Thorac. Surg., June 1, 2006; 81(6): 2179 - 2182.
[Abstract] [Full Text] [PDF]


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