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Ann Thorac Surg 1991;52:1337-1339
© 1991 The Society of Thoracic Surgeons

Articles

Use of a pericardial patch to bridge the conduction tissue during tricuspid valve replacement

Eli Milgalter, MD*, Hillel Laks, MD

Division of Cardiothoracic Surgery, University of California, Los Angeles, Medical Center, Los Angeles, California USA

Accepted for publication June 28, 1991.

* Address reprint requests to Dr Milgalter, Division of Cardiothoracic Surgery, UCLA Medical Center, 10833 LeConte Ave, 62-182 CHS, Los Angeles, CA 90024-1741 USA.

Tricuspid valve replacement carries a risk of causing complete heart block. To reduce this risk, a technique was developed to bridge the conduction system during prosthetic valve insertion in the tricuspid position. This technique, in which a pericardial patch is used to bridge the triangle of Koch, was performed successfully in 4 patients who underwent tricuspid valve replacement for Ebstein's anomaly of the tricuspid valve.




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