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J Thorac Cardiovasc Surg 2005;130:1208-1210
© 2005 The American Association for Thoracic Surgery

Brief Communication

The "clover technique" as a new approach for correction of postendocarditic severe tricuspid valve regurgitation

Georges Fayad, MD a , * , Thomas Modine, MD a , Pierre-Vladimir Ennezat, MD b , Thierry Le Tourneau, MD, PhD a , Benoît Larrue, MD a , Richard Azzaoui, MD a , Olivier Nugue, MD b , Olivier Leroy, MD c , Christophe Decoene, MD a , Philippe Asseman, MD b , Henri Warembourg, MD a

a Cardiovascular Surgery Department, Hôpital Cardiologique, Lille, France
b Intensive Care Unit, Hôpital Cardiologique, Lille, France
c Infectious Diseases Regional Department, CH Tourcoing, France.

* Address for reprints: Georges Fayad, MD, Hôpital Cardiologique, 59037 Lille Cedex, France. (Email: g-fayad@chru-lille.fr).

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

Various surgical treatments applied to tricuspid endocarditis provide immediate satisfactory results but seem to offer poor midterm results. We here report the use of the clover technique 1 Go as a good alternative.

Patient and Methods

A 31-year-old male patient with a history of intravenous heroin addiction and active hepatitis C was admitted in a septic status with consciousness disorder and acute respiratory insufficiency.

A full-body scan revealed several pulmonary and splenic abscesses. Transesophageal echocardiographic findings showed massive vegetation on the mitral valve posterior commissure (Figure 1, A) with a grade II mitral valve incompetence. There were several vegetations on the tricuspid valve with a grade II leak. Hemocultures had revealed a meti-R Staphylococcus aureus. Intravenous antibiotic treatment with cefotaxime, fosfomycin, rifampicin, and fluconazole was initiated. A positive pulmonary . . . [Full Text of this Article]




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 Eur J Cardiothorac SurgHome page
E. Lapenna, M. De Bonis, A. Verzini, G. La Canna, D. Ferrara, M. C. Calabrese, M. Taramasso, and O. Alfieri
The clover technique for the treatment of complex tricuspid valve insufficiency: midterm clinical and echocardiographic results in 66 patients
Eur J Cardiothorac Surg, June 1, 2010; 37(6): 1297 - 1303.
[Abstract] [Full Text] [PDF]


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