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Ann Thorac Surg 1977;23:209-214
© 1977 The Society of Thoracic Surgeons

Articles

Tricuspid Atresia: Corrective Operation without a Bioprosthetic Valve

Gordon F. Murray, M.D.*, Robert T. Herrington, M.D., David J. Delany, M.D.

Divisions of Cardiothoracic Surgery and Pediatric Cardiology and the Department of Radiology, University of North Carolina School of Medicine, Chapel Hill, NC.

Accepted for publication September 7, 1976.

* Address reprint requests to Dr. Murray, Division of Cardiothoracic Surgery, University of North Carolina School of Medicine, Clinical Sciences Building 229H, Chapel Hill, NC 27514.

A case of successful correction of type IB tricuspid atresia is described in which the patient's own normal pulmonary valve was used in its natural location. Morphological features of tricuspid atresia suggest that use of the in situ pulmonary valve is possible in most patients with normally related great arteries. Elimination of the requirement for valved conduits and bioprosthetic valves may eventually permit corrective operation in the very young child.




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