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Truncal valve repair using autologous pericardial patch augmentation.

Keiichi Fujiwara1, Kenta Imai, Kohsuke Yoshizawa

  • 1Department of Cardiovascular Surgery and Pediatric Cardiology, Heart Center, Hyogo Prefectural Amagasaki Hospital, Hyogo, Japan.

Asian Cardiovascular & Thoracic Annals
|February 27, 2014
PubMed
Summary

Successful tricuspidization using raphe slicing and pericardial extension repaired severe truncal valve regurgitation in a child. This surgical technique offers a promising alternative for quadricuspid valve repair.

Keywords:
Cardiac surgical procedurescongenitalheart defectspericardiumpersistenttruncus arteriosus

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Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Congenital Heart Disease

Background:

  • Severe truncal valve regurgitation poses significant risks in pediatric patients.
  • Quadricuspid valves present unique challenges for surgical repair.

Observation:

  • A 35-month-old boy presented with severe truncal valve regurgitation.
  • The patient had a quadricuspid truncal valve anatomy.

Findings:

  • Successful surgical repair was achieved using tricuspidization with raphe slicing and an extension technique with glutaraldehyde-treated autologous pericardium.
  • Postoperative follow-up at 5 years showed improvement of truncal valve regurgitation from severe to mild.

Implications:

  • Tricuspidization with raphe slicing and autologous pericardium extension is a viable surgical option for truncal valve regurgitation.
  • This technique may be particularly beneficial for patients with quadricuspid valves.