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Ann Thorac Surg 1995;60:1807-1809
© 1995 The Society of Thoracic Surgeons

Articles

Tricuspid valve repair by septal or posterior leaflet transposition

MD, PhD Afksendiyos Kalangos*, MD Ari Baldovinos, MD Ozge Sezerman, MD Bernard Faidutti

Clinic for Cardiovascular Surgery, Department of Surgery, University Cantonal Hospital of Geneva, Geneva, Switzerland

Accepted for publication June 16, 1995.

* Address reprint requests to Dr Kalangos, Clinic for Cardiovascular Surgery, University Cantonal Hospital of Geneva, 24 rue Micheli-du-Crest, 1211 Geneva 14, Switzerland.

We report 2 patients who presented extensive rupture of chordae tendineae caused by blunt thoracic trauma leading to flail anterior leaflet of tricuspid valve. Transposing a segment of septal leaflet in 1 patient and the posterior leaflet in the other patient onto the flail anterior leaflet's margin abolished massive tricuspid regurgitation. Fifteen and 33 months postoperatively the patients are in good clinical condition and the echocardiographic controls show a competent tricuspid valve.




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