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Ann Thorac Surg 2007;84:309-311
© 2007 The Society of Thoracic Surgeons

How To Do It

Off-Pump Tricuspid Valve Replacement for Severe Infective Endocarditis

Kun-Kuang Lee, MD, Hsi-Yu Yu, MD, Yih-Sharng Chen, MD, Nai-Hsin Chi, MD*, Chung-I Chang, MD, Shoei-Shen Wang, MD

Department of Surgery, National Taiwan University Hospital, and National Taiwan University College of Medicine, Taipei, Taiwan

Accepted for publication October 16, 2006.

* Address correspondence to Dr Chi, Department of Surgery, National Taiwan University Hospital, 7 Chung-Shan South Road, Taipei, 100, Taiwan (Email: chinaihsin{at}gmail.com).

A 30-year-old man who is a heroin addict was diagnosed with uncontrolled tricuspid valve endocarditis and repeated lung abscesses. He underwent tricuspid valvectomy for the endocarditis. After surgery the patient had severe tricuspid regurgitation and hypoxemia develop. Due to severe tricuspid regurgitation-induced ventricular distension and persistent low cardiac output, reimplantation of the tricuspid valve was planned for 2 weeks after the first operation. To avoid lung injury caused by the cardiopulmonary bypass and to preserve right ventricular function, a self-made superior and inferior vena cava shunt was connected to the pulmonary artery. The tricuspid valve was implanted without cardiopulmonary bypass.




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D. Schuch
Management of Tricuspid Valve Replacement
Ann. Thorac. Surg., December 1, 2007; 84(6): 2138 - 2138.
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