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Plicated patch repair for acquired Gerbode defect involving the tricuspid valve
Peter Matt1, Bernhard Winkler, Thierry Carrel
1Heart Surgery Center Basel-Bern, University Hospital, Basel, Switzerland. pmatt@uhbs.ch
The Annals of Thoracic Surgery
|January 28, 2010
Summary
Gerbode
Area of Science:
- Cardiovascular Surgery
- Congenital Heart Defects
- Cardiac Repair
Background:
- Gerbode's defect involves left ventricular-to-right atrial communication.
- Tricuspid valve involvement complicates repair after bacterial endocarditis.
Observation:
- A modified surgical technique was employed for defect closure and tricuspid valve reconstruction.
- A plicated bovine pericardial patch was utilized for tricuspid valve repair.
Findings:
- The modified technique successfully closed the Gerbode's defect.
- The tricuspid valve was reconstructed, achieving competence without regurgitation.
Implications:
- This approach offers a viable solution for complex Gerbode's defects with tricuspid valve involvement.
- The technique may improve outcomes for patients requiring surgical repair of acquired cardiac defects.
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