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Case Reports
. 2021 Mar 29;2021(3):rjab106.
doi: 10.1093/jscr/rjab106. eCollection 2021 Mar.

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

Saifullah Mohamed  1 , Akshay J Patel  2 , Khurum Mazhar  1 , Ravish Jeeji  1 , Paul D Ridley  1 , Lognathen Balacumaraswami  1
Affiliations
Case Reports

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

Saifullah Mohamed et al. J Surg Case Rep. .

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.

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Figures

Figure 1
Figure 1
Anterior leaflet destroyed by vegetation and posterior leaflet prolapse.
Figure 2
Figure 2
Reconstruction of the anterior leaflet with the Admedus decellularized bovine pericardial patch.
Figure 3
Figure 3
Demonstration of a competent tricuspid valve following complex tricuspid valve reconstruction
See this image and copyright information in PMC

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