| A Case of Combined Valvular Disease with Tricuspid Valve Stenosis |  
             
            
              
                  (Department of CardioVascular Surgery, Prefectural Nobeoka Hospital, Nobeoka, Japan and Department of Surgery II, Miyazaki Medical College*, Miyazaki, Japan) 
                   
                  
                    | Eisaku Nakamura |  
                    Masachika Kuwabara |  
                    Masakazu Matsuyama |  
                   
                  
                    | Kouji Furukawa* |  
                    Toshio Onitsuka* | 
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              A 63-year-old woman was admitted to our hospital for combined valvular disease with tricuspid valve stenosis.  Aortic and mitral valves were replaced with artificial valves and tricuspid valve were replaced with a biological valve.  We chose artificial valves for the aortic and mitral valves because the patient was younger than 70, while a biological valve was used for the tricuspid valve to avoid possible thromboembolism.  The postoperative course was excellent.  We propose that it is better to use a biological valve for the tricuspid valve, even if artificial valves are used in other sites. 
                @Jpn. J. Cardiovasc. Surg. 33: 299-301 (2004) |  
             
            
             
           
         
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