Images in Cardiology
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEg2NeXOiIGs7-aQjwvgYygBUozHTRFBOaph7g2K5c3SJhhdDDJQhQEBWJ0T8G9LvqUR4jMbgXA7cQTzPzJo54SMH0lftVM6wS0RGdOX4i6ATY4xgIKwqeTIiNlaAboxYbu-Sh2DR3odZg3l/s400/TricupidValvePlacementInFontanCircCVIntv2001Images.bmp)
History:
Tricuspid Atresia - type 1c
(Tricuspid atresia, Normally-related Great Arteries, VSD, no PS)
14 yrs: Fontan-Bjork Operation (RA-RV Hancock Prosthesis, Closure of ASD and VSD)
24 yrs: Obstruction of Hancock prosthesis. Therefore, replaced with 23 mm Aortic Homograft
38 yrs: Complete Heart Block - Dual Chamber pacemaker (RV lead via homograft)
45 yrs: PLE, failure of medical therapy, Severe TR
47 yrs: Melody Valve in Tricuspid position (inside Aortic Homograft). Resolution of PLE
14 mo follow-up: No recurrence of PLE.
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