Reoperative tricuspid valve replacement through right anterolateral thoracotomy: Case report Reoperati̇f tri̇küspi̇d kapak replasmaninda saǧ anterolateral torakotomi̇ yaklaşimi: Olgu sunumu


Tezcaner T., AŞGÜN H. F. , Ceyran H. , Taşdemir K., Can B., Bozoǧlan O. , ...More

Erciyes Tip Dergisi, vol.26, no.2, pp.90-92, 2004 (Journal Indexed in SCI Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 26 Issue: 2
  • Publication Date: 2004
  • Title of Journal : Erciyes Tip Dergisi
  • Page Numbers: pp.90-92

Abstract

We report a patient who had undergone a reoperative tricuspid valve replacement through right anterolateral thoracotomy after a previous mitral valve replacement. A 53 year-old woman whose mitral valve had been replaced 18 years previously was taken to reoperation for tricuspid valve replacement. She had grade 4 tricuspid insufficiency and stenosis (tricuspid valve area 1.44 cm2, mean transvalvular gradient 6.5 mmHg, peak transvalvular gradient 16 mmHg). Following right femoral artery cannulation right anterolateral thoracotomy was performed and thorax was entered through the 4th intercostal space. The pericardium was opened and adhesions were dissected. Total cardiopulmonary bypass was instituted with bicaval cannulation and tricuspid valve was replaced with a mechanical prosthesis while heart beating. We emphasize that the right anterolateral thoracotomy is a safe and quick approach in reoperative tricuspid valve surgery and that either operation or postoperative period has an uneventful course.