Anterior leaflet replacement and reconstruction with Admedus Cardiocel™ decellularized pericardial patch in tricuspid valve endocarditis

Saifullah Mohamed, Akshay J Patel, Khurum Mazhar, Ravish Jeeji, Paul D Ridley, Lognathen Balacumaraswami

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Abstract

We present the case of a 28 year-old lady with a history of intravenous drug use who presented to our institution with symptomatic right heart failure secondary to tricuspid valve regurgitation. She presented with infective endocarditis leading to dyspnoea and peripheral oedema secondary to torrential tricuspid regurgitation. Transthoracic echocardiography confirmed right ventricular dysfunction and congestive hepatomegaly. Intra-operatively findings an infected and destroyed anterior leaflet of the tricuspid valve with posterior leaflet prolapse was found to cause severe tricuspid regurgitation. She had complex tricuspid valve reconstruction using anterior leaflet reconstruction using Admedus Cardiocel™ patch, posterior leaflet prolapse correction and commissural reduction with a McGoon imbrication and annuloplasty ring to stabilize the repair. This case demonstrates the importance of reconstructive tricuspid valve surgery in the setting of infective endocarditis. Furthermore, this case demonstrates the possibility of anterior leaflet excision and reconstruction with an excellent durable functional result.

Original languageEnglish
Article numberrjab106
JournalJournal of Surgical Case Reports
Volume2021
Issue number3
Early online date29 Mar 2021
DOIs
Publication statusPublished - Mar 2021

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