Tuesday, February 15, 2011

Tricuspid Valve Implantation in Fontan Patient

Circulation: Cardiovascular Interventions. 2011;4:112-3.
Images in Cardiology























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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1 comment:

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