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Loïc Macé
Santé Bucari
Thierry A. Folliguet
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Ann Thorac Surg 1995;60:450-452
© 1995 The Society of Thoracic Surgeons

Articles

Valved conduit bypass for extensively calcified tricuspid valve stenosis

MD Patrice Dervanian*, MD Loïc Macé, MD Santé Bucari, MD Thierry A. Folliguet, MD Jean-Michel Grinda, MD Jean-Yves Neveux

Department of Cardiovascular and Pediatric Cardiac Surgery, Marie Lannelongue Hospital, Paris Sud University, Paris, France

Accepted for publication January 18, 1995.

* Address reprint requests to Dr Dervanian, Département de Chirurgie Cardio-vasculaire et Pédiatrique, Centre Chirurgical Marie Lannelongue, 133 Ave de la Résistance, 92350 Le Plessis Robinson, France.

A case of calcified tricuspid valve stenosis resulting from a complication of ventriculoatrial shunt implantation is presented. Tricuspid valve repair or replacement was not possible because of the prohibitive risk of damaging the right atrioventricular junction and conductive pathways. This rare lesion was treated successfully by insertion of an external right atrial-right ventricular valved conduit. The role of echocardiography in the detection of such a lesion is emphasized and the etiologic and therapeutic aspects are discussed.




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