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Ann Thorac Surg 1994;57:752-754
© 1994 The Society of Thoracic Surgeons

Articles

Tricuspid valve replacement after orthotopic heart transplantation

Timothy V. Votapka, MD*, R.Scott Appleton, Md, D.Glenn Pennington, MD

Departments of Surgery and Pediatrics, St. Louis University Medical Center, St. Louis, Missouri USA

Accepted for publication June 28, 1993.

* Address reprint requests to Dr Votapka, Department of Surgery, St. Louis University Medical Center, 3635 Vista Ave at Grand Blvd, St. Louis, MO 63110-0250.

Atrioventricular valvular regurgitation is a known complication after cardiac transplantation. In this communication, we describe a case of progressively severe tricuspid insufficiency that ultimately necessitated tricuspid valve replacement. The patient has done well clinically since valve replacement, and a postoperative cardiac catheterization demonstrated normal right heart hemodynamics. A discussion of proposed causes and a review of the literature are provided.




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