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Ann Thorac Surg 1995;59:320-322
© 1995 The Society of Thoracic Surgeons

Unstented Semilunar Homograft Replacement of Tricuspid Valve in Ebstein's Malformation

Naresh Kumar, FRCS, Ricardo Gallo, MD, Zohair Al-Halees, FRCS(C), Fadel Al-Fadley, FRCP, Carlos M. G. Duran, MD, PhD

Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia

Accepted for publication July 27, 1994.

Tricuspid valve pathology in Ebstein's malformation requires replacement when it is not possible to repair or reconstruct this valve. In smaller children, in whom the right-sided atrioventricular valve is severely dysplastic and right ventricular volume is prohibitive, prosthetic replacement is not always possible. We report here on 3 patients who underwent stentless semilunar homograft replacement (top-hat procedure) of tricuspid valve for Ebstein's anomaly with good short-term outcome. This provides an attractive alternative in the management of a certain difficult subset of patients, avoids long term anticoagulation and probably is more durable.




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