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Ann Thorac Surg 1997;63:830-832
© 1997 The Society of Thoracic Surgeons

Case Reports

Tricuspid Valve Repair for Tricuspid Valve Endocarditis After Fallot Repair

Yves d'Udekem, MD, Thierry Sluysmans, MD, Jean E. Rubay, MD

Cliniques Universitaires Saint-Luc, Brussels, Belgium

Accepted for publication September 30, 1996.

Occurence of endocarditis after surgical repair of tetralogy of Fallot is rare. A case of early postoperative endocarditis in a 1-year-old infant is described. At reoperation an abscess of the the tricuspid valve annulus was discovered at the site of implantation of the ventricular septal defect patch. After debridement of the annulus, the septal and the anterior leaflet of the tricuspid valve were found dehiscent from their annular insertion. The tricuspid annulus was reconstructed with a patch of autologous pericardium, and the preserved leaflets were reimplanted.




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