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Tricuspid Valve Plasty Using Autologous Pericardium for a Patient with Infectious Endocarditis
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iDepartment of Cardiovascular Surgery, Hiroshima City Hospital, Hiroshima, Japanj
| Hideyuki Kato |
Hideo Yoshida |
Kunikazu Hisamochi |
| Keiji Yunoki |
Makoto Mouri |
Noriyuki Tokunaga |
| Toshihiko Suzuki |
Osamu Oba |
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A 27-year-old woman was given a diagnosis of infectious endocarditis with severe tricuspid regurgitation. Despite adequate antibiotics therapy, her general condition did not improve, and moreover multiple pulmonary abscesses were detected by computed tomography. Therefore surgery was indicated. Surgery consisted of removal of vegetation and tricuspid valve plasty with autologous pericardial patch augmentation of the anterior leaflet. Tricuspid valve plasty was carried out without prosthetic materials. Her postoperative course was uneventful with only mild tricuspid regurgitation. One year after surgery, neither recurrence of infection nor worsening of tricuspid regurgitation was noted. This method could be a useful technique for young patients with severe infection.
Jpn. J. Cardiovasc. Surg. 38:340-343i2009j
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