'Leafletization' of Atrialized Ventricular Septum Endocardium in Ebstein Anomaly
Autor: | Ichiro Matsumaru, Reiko Kemmochi, Taku Inoue, Shun Nakaji, Takashi Miura, Kikuko Obase, Kiyoyuki Eishi |
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Rok vydání: | 2021 |
Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Ventricular Septum Regurgitation (circulation) Case presentation Internal medicine medicine Tricuspid annulus Humans cardiovascular diseases Cardiac Surgical Procedures TRICUSPID VALVE REPAIR Endocardium Aged business.industry Plastic Surgery Procedures Ebstein Anomaly EBSTEIN ANOMALY cardiovascular system Cardiology Surgery Cardiology and Cardiovascular Medicine business Right Ventricular Endocardium |
Zdroj: | The Annals of Thoracic Surgery. 112:e149-e151 |
ISSN: | 0003-4975 |
DOI: | 10.1016/j.athoracsur.2020.12.093 |
Popis: | This case presentation of a 73-year-old man introduces a unique tricuspid valve repair with "endocardium leafletization" for Ebstein anomaly. In this procedure, an atrialized portion of the right ventricular endocardium was delaminated, starting from the level of the true tricuspid annulus, to create a neoleaflet in continuity with the displaced true leaflet. The obtained neoleaflet was then anchored to the true tricuspid annulus. Preoperative severe tricuspid regurgitation was effectively controlled with preserving sufficient leaflet mobility. This procedure can be one of the useful options for a certain lesion of Ebstein anomaly that aims to avoid excessive leaflet rotation and restore functional valve apparatus. |
Databáze: | OpenAIRE |
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