A case of redo tricuspid valve repair after neonatal cone operation for Ebstein’s anomaly
| Autor: | Hitoshi Yaku, Junya Nabeshima, Hisayuki Hongu, Takashi Nagase, Yoshinobu Maeda, Hiroki Nakatsuji, Masaaki Yamagishi |
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| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Anterior leaflet business.industry Autologous pericardium General Medicine Regurgitation (circulation) Commissure medicine.disease Surgery Cardiac surgery Cardiothoracic surgery Ebstein's anomaly cardiovascular system medicine cardiovascular diseases TRICUSPID VALVE REPAIR Cardiology and Cardiovascular Medicine business |
| Zdroj: | General Thoracic and Cardiovascular Surgery. 70:289-291 |
| ISSN: | 1863-6713 1863-6705 |
| DOI: | 10.1007/s11748-021-01742-x |
| Popis: | Cone reconstruction for Ebstein’s anomaly, although effective, is challenging in neonatal cases. Very few reports have discussed recurrent regurgitation. Herein, we report a successful redo tricuspid valve repair for recurrent regurgitation 5 years after cone reconstruction. A 5-year-old boy underwent cone reconstruction for Ebstein’s anomaly in the neonatal period. Although tricuspid regurgitation reduced initially, it subsequently worsened. The mechanisms of regurgitation are dilatation of the anteroseptal commissure, indentation in the septal leaflet, and foreshortening of the anterior leaflet. Augmentation of the anterior leaflet using an elliptic autologous pericardium and mending of the gaping commissure and indentation markedly reduced the regurgitation. |
| Databáze: | OpenAIRE |
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