Tricuspid valvectomy to facilitate repair of postinfarction ventricular septal defect
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Updated: Jul 4, 2026

Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
Elena A Ashikhmina1, Hartzell V Schaff
1Division of Cardiovascular Surgery, Mayo Clinic, St. Mary's Hospital, Rochester, Minnesota, USA. AshikhminaElena@mayo.edu
Abstract:
Repair of postinfarction ventricular septal defect (VSD) located posteriorly can be a challenging procedure both in regard to operative mortality and recurrence of the defect. Avoidance of ventriculotomy by transatrial repair may decrease risks of bleeding and impairment of ventricular function secondary to suture placement; however, adequate exposure of the defect through the tricuspid valve is not always possible. We present a case of successful transatrial repair of posterior postinfarction VSD with concurrent tricuspid valvectomy and coronary artery grafting.
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