Commissuroplasty for the anterior commissure defect caused by tricuspid valve endocarditis using patch closure and modified placement of a rigid ring

Journal of Cardiothoracic Surgery

Ja Hong Kuh¹  Jong Bum Choi¹  Kyung Hwa Kim¹  Jong Hun Kim¹ 

[1] Department of Thoracic and Cardiovascular Surgery and Research Institute of Clinical Medicine, Chonbuk National University Medical School, 20 Geonji-Ro, Deokjin-Gu, Jeonju, Chonbuk 561-712, Republic of Korea

关键词: Tricuspid valve repair;    Endocarditis;    Tricuspid valve;    Valve;    Heart;   

Others  :  811670
DOI  :  10.1186/1749-8090-9-36

 received in 2013-10-05, accepted in 2014-02-17,  发布年份 2014

【 摘 要 】

The anterior commissure defect of tricuspid valve may leave remnant regurgitation with inadequate leaflet coaptation after simple patch closure of the defect. A 19-year-old man underwent commissuroplasty for the anterior commissure defect caused by tricuspid valve endocarditis. Significant remnant regurgitation after patch closure of the anterior commissure defect was successfully solved by modified placement of an undersized rigid ring along the functional valve opening. The anterior horn of the rigid ring was affixed to the medial margin of the patch to reinforce the new commissure and enhance leaflet coaptation.

【 授权许可】

   
2014 Kim et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

Figure 3.

【 参考文献 】

• [1]Romano G, Carozza A, Della Corte A, De Santo LS, Amarelli C, Torella M, De Feo M, Cerasuolo F, Cotrufo M: Native versus primary prosthetic valve endocarditis: comparison of clinical features and long-term outcome in 353 patients. J Heart Valve Dis 2004, 13:200-208.
• [2]Choi JB, Kim KH, Kim MH: Modified tricuspid ring annuloplasty to reduce residual regurgitation in functional tricuspid regurgitation. J Card Surg 2010, 25:647-650.
• [3]Lai DT, Chard RB: Commissuroplasty: a method of valve repair for mitral and tricuspid endocarditis. Ann Thorac Surg 1999, 68:1727-1730.
• [4]Hamanaka Y, Mitsui N, Hirai S, Isaka M, Kobayashi T: Cusp commissuroplasty for tricuspid valve endocarditis. Jpn J Thorac Cardiovasc Surg 2003, 51:616-618.
• [5]Filsoufi F, Salzberg SP, Coutu M, Adams DH: Three dimensional ring annuloplasty: a significant advance for the treatment of tricuspid regurgitation. Ann Thorac Surg 2006, 81:2273-2278.
• [6]Farinas JM, Leclerc Y, Antchouey AM, Mercier LA: Tricuspid valve replacement: long-term clinical and echocardiographic follow-up. Ann Chir 1996, 50:707-712.