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THE JOURNAL OF CARDIOVASCULAR SURGERY

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The Journal of Cardiovascular Surgery 1999 August;40(4):527-30

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Isolated tricuspid regurgitation due to atypical morphology of anterior-posterior leaflets in an adult. A case report and review of the literature

Shibata Y., Sato M., Chanda J.**, Sato R., Fujiwara R.*

From the Department of Cardiovascular Surgery * Department of Cardiology, Yurikumiai General Hospital, Honjo, Japan ** Department of Cardiovascular Surgery Akita University School of Medicine, Akita, Japan


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A 73-­year-old ­woman ­with con­gen­ital iso­lated ­organic tri­cuspid regur­gi­ta­tion was ­reported. She had nei­ther the his­tory of ­chest ­trauma nor rheu­matic ­fever nor the evi­dence of infec­tive endo­car­ditis. The ­patient was suc­cess­fully ­treated ­with a bio­pros­thetic ­valve replace­ment in tri­cuspid posi­tion. Oper­a­tive find­ings ­revealed hypo­plastic ante­rior ­leaflet and rel­a­tively ­large pos­te­rior ­leaflet. Struc­tural ­anomaly of the ­valve, coap­ta­tion dis­order due to the thick­ened ­valve leaf­lets, as ­well as ­enlarged ­valve ­ring and the occur­rence of ­atrial fib­ril­la­tion was ­thought to be the ­causes of mas­sive regur­gi­ta­tion.

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