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- Title
Acquired left ventricular-right atrial communication after mitral valve replacement and tricuspid annuloplasty.
- Authors
Uwabe, Kazuhiko; Okuzono, Yasuhito; Masuda, Noriyasu; Furukawa, Hiroshi
- Abstract
A 77-year-old woman underwent mitral valve replacement and tricuspid annuloplasty for severe mitral stenosis and tricuspid regurgitation with pulmonary hypertension. Two months later, the patient was readmitted because of marked edema. A new harsh pansystolic murmur was auscultated, and echocardiography revealed a jet from the left ventricle to the right atrium but no paravalvular leakage was detected at the mitral valve position. At operation, an 6 mm defect adjacent to the tricuspid annulus in the interatrial septum and detachment of the anterior edge of the tricuspid ring were detected. The defect was closed using a pericardial patch. An inadequate stitch at the anteroseptal commissure in the previous operation led to left ventricular-right atrial communication.
- Subjects
TRICUSPID valve surgery; HEART valve diseases; ECHOCARDIOGRAPHY; TRICUSPID valve; MITRAL valve surgery; HEART atrium; VENTRICULAR septal defects; MITRAL valve; DISEASE complications
- Publication
Journal of Cardiac Surgery, 2022, Vol 37, Issue 11, p3922
- ISSN
0886-0440
- Publication type
Case Study
- DOI
10.1111/jocs.16898