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The Annals of Thoracic Surgery, Vol 56, 1407-1408, Copyright © 1993 by The Society of Thoracic Surgeons

ARTICLES

Successful orthotopic transplantation of a fresh tricuspid valve homograft in a human

M di Summa, E Donegani, GF Zattera, S Pansini and M Morea
Department of Cardiovascular Surgery, University of Torino, Italy.

We report a successful transplantation of a human tricuspid valve in a human. We used a fresh tricuspid homograft with its chordae tendineae and papillary muscles, harvested 5 days earlier under sterile conditions from a multiorgan donor a few minutes after cardiectomy (the heart was not suitable for cardiac transplantation) and immediately stored at 4 degrees C. We elected to implant the homograft in a young heroin addict. Our experience demonstrates that the implantation of an atrioventricular homograft in the orthotopic position is technically feasible and can achieve good results, at least in the short term.

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