HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Allen, M. D. Articles by Pearlman, A. S. Search for Related Content PubMed PubMed Citation Articles by Allen, M. D. Articles by Pearlman, A. S.

The Annals of Thoracic Surgery, Vol 51, 593-598, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

Tricuspid valve repair for tricuspid valve endocarditis: tricuspid valve "recycling"

MD Allen, F Slachman, AC Eddy, D Cohen, CM Otto and AS Pearlman
Division of Cardiothoracic Surgery, University of Washington, Seattle.

Tricuspid valve endocarditis traditionally has been treated with either valve excision or valve replacement. To avoid implantation of foreign material in an infected field, we have applied the principles of mitral valve repair to 4 patients with tricuspid valve endocarditis. On preoperative echocardiography, all patients had 3 to 4+ tricuspid regurgitation, evidence of progressive right ventricular enlargement, and mobile vegetations. In each case, up to three quarters of the anterior leaflet was excised en bloc with infected chordae and papillary muscle heads. Surgical procedures included standard quadrangular resection, conversion to a bicuspid valve, and pericardial patch replacement of the anterior leaflet with mobilization of basal chordae to replace resected marginal chordae. On postoperative echocardiography, tricuspid regurgitation and right ventricular dimensions were reduced in 2 of 4 patients in spite of loss of leaflet tissue. All excised valve tissue demonstrated bacteria on Gram stain or culture. Nonetheless, all repaired valves were successfully sterilized without recurrent infections. Tricuspid valve repair can allow eradication of infection with potential for improving valve competency in complicated tricuspid valve endocarditis.

This article has been cited by other articles:

				J.-P. A. Couetil, P. G. Argyriadis, A. Shafy, A. Cohen, A. J. Berrebi, D. F. Loulmet, J.-C. Chachques, and A. F. Carpentier Partial replacement of the tricuspid valve by mitral homografts in acute endocarditis Ann. Thorac. Surg., June 1, 2002; 73(6): 1808 - 1812. [Abstract] [Full Text] [PDF]

				M. Caleb, S. Shankar, and T. Agasthian Tricuspid Endocarditis and Paradoxical Embolism Asian Cardiovasc Thorac Ann, June 1, 2001; 9(2): 132 - 134. [Abstract] [Full Text] [PDF]

				Y. d'Udekem, T. Sluysmans, and J. E. Rubay Tricuspid Valve Repair for Tricuspid Valve Endocarditis After Fallot Repair Ann. Thorac. Surg., March 1, 1997; 63(3): 830 - 832. [Abstract] [Full Text]