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You are here: Contents > 2017 > Volume 26 Number 1 January 2017 > CASE REPORTS > Redo Tricuspid Valve Repair with Leaflet Augmentation Using the Left Atrial Wall

Redo Tricuspid Valve Repair with Leaflet Augmentation Using the Left Atrial Wall

Daisuke Endo1, Kenji Kuwaki1,2, Taira Yamamoto1, Atsushi Amano1

1Department of Cardiovascular Surgery, Juntendo University, Tokyo, Japan
2Electronic correspondence: kkuwaki@juntendo.ac.jp

The case is reported of a 79-year-old female who received a patch augmentation of the tricuspid anterior and septal leaflets with a resected left atrial wall to address recurrent tricuspid regurgitation, including tricuspid valve tethering. The patient was admitted to the authors’ hospital for chronic heart failure with paravalvular leakage after aortic valve replacement and recurrent severe tricuspid regurgitation. She had undergone two previous cardiac surgeries. Re-tricuspid repair required an augmentation of the tricuspid valve leaflets in addition to tricuspid

annuloplasty. As the autologous pericardium was unsuitable for a patch due to thickened and stiffened changes, the decision was taken to use a left atrial wall resected to reduce the size of giant left atrium, which was thin and easy to handle. This is the first report of tricuspid leaflet augmentation using a patch derived from the left atrial wall, which is a useful method in patients where pericardium is not available.

The Journal of Heart Valve Disease 2016;25:403-409


Redo Tricuspid Valve Repair with Leaflet Augmentation Using the Left Atrial Wall

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