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Reoperation after modified Björk procedure for tricuspid atresia
Sana Chatti1, Faker Ghedira1, Houaida Mahfoudhi2
1Department of Cardiovascular Surgery, Faculty of Medicine of Tunis, La Rabta Hospital, University of Tunis El Manar, Tunis, Tunisia.
Annals of Pediatric Cardiology
|May 9, 2022
Summary
The Björk procedure, an alternative to Fontan palliation for tricuspid atresia, can fail long-term. This case demonstrates successful reoperation for a narrowed, calcified conduit 25 years post-Björk intervention in a high-risk adult.
Area of Science:
- Cardiology
- Congenital Heart Disease
- Pediatric Cardiac Surgery
Background:
- The Björk procedure offers biventricular repair for tricuspid atresia, an alternative to Fontan palliation.
- Right atrium to right ventricle conduit failure presents significant long-term challenges.
- Managing high-risk surgical patients with failing conduits is complex.
Observation:
- A young adult presented 25 years after a modified Björk intervention.
- The patient exhibited a severely narrowed and calcified valved conduit.
- This indicated significant long-term complication of the initial procedure.
Findings:
- Successful reoperation was performed on the patient.
- The reoperation addressed the severely narrowed and calcified valved conduit.
- This highlights the possibility of late intervention.
Implications:
- Reoperation can be a viable option for late complications of the Björk procedure.
- This case expands understanding of long-term outcomes and management strategies.
- Further research into late conduit failure and reintervention is warranted.
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