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J Thorac Cardiovasc Surg 2006;131:228-229
© 2006 The American Association for Thoracic Surgery

Brief Communication

Incorporating a pediatric concept into tricuspid valve endocarditis: One and a half ventricle repair

Shu-Chien Huang, MD a , b , Nai-Hsin Chi, MD a , I.-Hui Wu, MD a , Hsi-Yu Yu, MD a , En-Ting Wu, MD c , Shoei-Shen Wang, MD a , Fang-Yue Lin, MD a , Yih-Sharng Chen, MD a , *

a Department of Surgery, National Taiwan University Hospital, Taipei, Taiwan, Republic of China
b Department of Traumatology, National Taiwan University Hospital, Taipei, Taiwan, Republic of China
c Department of Pediatrics, National Taiwan University Hospital, Taipei, Taiwan, Republic of China

Received for publication July 29, 2005; revisions received August 4, 2005; accepted for publication August 17, 2005.

* Address for reprints: Yih-Sharng Chen, MD, Department of Surgery, National Taiwan University Hospital, 7 Chung-Shan S. Rd., Taipei 100, Taiwan (Email: yschen11@yahoo.com.tw).

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


Figure 1
Shu-Chien Huang


Tricuspid valve (TV) endocarditis is usually associated with intravenous drug abuse and sometimes with congenital heart disease. Valve repair is the preferred procedure when possible, but extensive infection with valvular destruction would preclude this possibility. TV replacement carries a generally poor long-term prognosis, with debate continuing concerning the choice of a bioprosthetic or mechanical valve. 1 Go Valve excision alone is another recommended operation of choice 2 Go; however, some surgeons experienced a second operation for artificial TV implantation in most instances. We suggested a one and a half ventricle repair procedure for intractable TV endocarditis.

Technique

Operations were performed during cardiopulmonary bypass and bicaval cannulation, with the superior vena cava (SVC) cannulated at the innominate veins. If all 3 leaflets were impossible to preserve because of the extension of infection, we performed adequate debridement of the infected tissue, including leaflets, chordae, papillary muscles, and sometimes part of the annulus. Several horizontal mattress sutures were placed on the TV . . . [Full Text of this Article]




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 Ann. Thorac. Surg.Home page
J. W. Chung, H. W. Goo, Y.-M. Im, H.-J. Shin, W. K. Jhang, J.-K. Ko, and T.-J. Yun
One and a Half Ventricle Repair in Adults: Postoperative Hemodynamic Assessment Using Phase-Contrast Magnetic Resonance Imaging
Ann. Thorac. Surg., July 1, 2011; 92(1): 193 - 198.
[Abstract] [Full Text] [PDF]


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