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Case Reports

Severe Pulmonary Valve Incompetence Late After Debanding: Repair by Bicuspidization

^a Department of Thoracic, Cardiac and Vascular Surgery, Children's Hospital, University of Tübingen, Tübingen, Germany
^b Department of Pediatric Cardiology, Children's Hospital, University of Tübingen, Tübingen, Germany

Accepted for publication December 3, 2007.

^_* Address correspondence to Dr Ziemer, Department of Thoracic-, Cardiac- and Vascular Surgery, Eberhard-Karls-University Tübingen, Hoppe-Seyler-Str. 3, Tübingen, 72076, Germany (Email: gerhard.ziemer{at}med.uni-tuebingen.de).

We report a simple valve repair for severe pulmonary incompetence in a 25-year-old patient. The patient had been operated on twice before for ventricular septal defect and coarctation of the aorta. The first operation consisted of pulmonary artery banding and coarctectomy and end-to-end anastomosis at 4 months, followed by debanding and transinfundibular ventricular septal defect closure at 6 years of age. Massive pulmonary incompetence was due to destruction of one valve cusp with the right ventricular outflow tract and pulmonary artery dilated secondarily. Repair consisted of pulmonary valve bicuspidization and right ventricular remodelling.