WJCS  Vol.2 No.2 , June 2012
Valve Repair Using Autologous Pericardium in Tricuspid Valve Endocarditis
Abstract: Tricuspid valve endocarditis is a significant cause of valve-related morbidity and mortality. Prosthetic valve reconstruction can be costly and requires life-long anticoagulation. We present our experience with surgical management of an endocarditis damaged tricuspid valve leaflet in an intravenous drug user. We were able to excise the infected tissue and successfully repair the native valve using autologous pericardium, effectively eliminating the need for prostheses and associated complications. Our case report demonstrates that tricuspid valve reconstruction, using autologous pericar-dium, is a suitable option in patients with tricuspid endocarditis.
Cite this paper: K. Singh, M. Wang, S. Marco and D. D’Alessandro, "Valve Repair Using Autologous Pericardium in Tricuspid Valve Endocarditis," World Journal of Cardiovascular Surgery, Vol. 2 No. 2, 2012, pp. 7-9. doi: 10.4236/wjcs.2012.22003.

[1]   P. Chan, J. D. Ogilby and B. Segal, “Tricuspid Valve Endocarditis,” American Heart Journal, Vol. 117, No. 5, 1989, pp. 1140-1146. doi:10.1016/0002-8703(89)90874-0

[2]   A. Arbulu, R. J. Holmes and I. Asfaw, “Surgical Treatment of Intractable Right-Sided Infective Endocarditis in Drug Addicts: 25 Years Experience,” Journal of Heart Valve Disease, Vol. 2, No. 2, 1993, pp. 129-139.

[3]   D. De La Zerda, O. Cohen, D. Marelli, F. Esmailian, D. Hekmat and H. Laks, “Tricuspid Valve Repair Using Autologous Pericardium Annuloplasty in Adults,” The Heart Surgery Forum, Vol. 11, No. 1, 2008, pp. E4-E8.

[4]   P. M. McCarthy, S. K. Bhundia, J. Rajeswaran, et al., “Tricuspid Valve Repair: Durability and Risk Factors for Failure,” The Journal of Thoracic and Cardiovascular Surgery, Vol. 127, No. 3, 2004, pp. 674-685. doi:10.1016/j.jtcvs.2003.11.019

[5]   H. J. Stern, D. A. Sisto, J. A. Strom, R. Soeiro, S. R. Jones and R. W. Frater, “Immediate Tricuspid Valve Replacement for Endocarditis. Indications and Results,” The Journal of Thoracic and Cardiovascular Surgery, Vol. 91, 1986, pp. 163-167.

[6]   F. Filsoufi, A. C. Anyanwu, S. P. Salzberg, T. Frankel, L. H. Cohn and D. H. Adams, “Long-Term Outcomes of Tricuspid Valve Replacement in the Current Era,” The Annals of Thoracic Surgery, Vol. 80, No. 3, 2005, pp. 845-850. doi:10.1016/j.athoracsur.2004.12.019

[7]   R. Scrofani, M. Salati, P. Di Biasi, et al., “The Role of Autologous Pericardium in Cardiac Surgery,” The Annals of Thoracic Surgery, Vol. 63, No. 1, 1997, p. 291.

[8]   D. Liu, M. Zhang and B. Song, “An Alternative Technique for Tricuspid Valve Repair Using Autologous Pericardium,” Journal of Cardiac Surgery, Vol. 24, No. 5, 2009, pp. 518-521. doi:10.1111/j.1540-8191.2009.00854.x