Plicated patch repair for acquired Gerbode defect involving the tricuspid valve

Ann Thorac Surg. 2010 Feb;89(2):643-5. doi: 10.1016/j.athoracsur.2009.04.095.

Abstract

Gerbode's defect, a left ventricular-to-right atrial communication, with involvement of the tricuspid valve acquired after bacterial endocarditis can be challenging to repair. We report a modified technique for a shunt closure and reconstruction of the tricuspid valve using a plicated bovine pericardial patch. Combining such a repair with a left ventricular patch resulted in a complete defect closure and competent tricuspid valve without regurgitation.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aortic Valve / surgery*
  • Aortic Valve Insufficiency / diagnosis
  • Aortic Valve Insufficiency / surgery*
  • Bioprosthesis
  • Blood Vessel Prosthesis
  • Blood Vessel Prosthesis Implantation / methods*
  • Echocardiography, Transesophageal
  • Endocarditis, Bacterial / diagnosis
  • Endocarditis, Bacterial / surgery*
  • Haemophilus Infections / diagnosis
  • Haemophilus Infections / surgery*
  • Haemophilus influenzae type b*
  • Heart Arrest, Induced
  • Heart Septal Defects / diagnosis
  • Heart Septal Defects / surgery*
  • Heart Valve Prosthesis Implantation
  • Humans
  • Male
  • Postoperative Complications / diagnosis
  • Tricuspid Valve / surgery*
  • Tricuspid Valve Insufficiency / diagnosis
  • Tricuspid Valve Insufficiency / surgery*