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Ann Thorac Surg 2005;80:322-324
© 2005 The Society of Thoracic Surgeons

Case report

Tricuspid Valve Incompetence Caused by an Intracardiac Needle-Like Foreign Body

Toshiro Kobayashi, MD*, Kenji Hayashi, MD, Kensuke Sakata, MD, Yurio Kobayashi, MD

Department of Cardiovascular Surgery, Saiseikai Shimonoseki General Hospital, Yamaguchi, Japan

Accepted for publication January 22, 2004.

* Address reprint requests to Dr Takano, Department of Surgery E-1, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita, Osaka 565-0871, Japan (Email: kobaling{at}tf6.so-net.ne.jp).

We report a rare case of tricuspid valve incompetence caused by a needle-like foreign body with an unknown route of invasion. A 55-year-old woman who had suffered from chronic heart failure for more than 25 years was diagnosed as having Ebstein’s anomaly after a transthoracic echocardiogram with Doppler imaging showed severe tricuspid regurgitation and displacement of the septal leaflet toward the right ventricle inlet. Surgery revealed a foreign body attached to the tricuspid valve, causing regurgitation. Valve replacement was performed and the patient’s condition improved remarkably thereafter.






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