RESUMO
A 29-year-old male with tricuspid endocarditis related to a residual ventricular septal defect was studied. A large vegetation was resected along with partial excision of the valve. The tricuspid valve was reconstructed using a single-stitch triple-orifice technique. No regurgitation or stenosis was detected at the valve 6 months after surgery.
Assuntos
Procedimentos Cirúrgicos Cardíacos , Endocardite Bacteriana/terapia , Staphylococcus epidermidis/isolamento & purificação , Insuficiência da Valva Tricúspide/terapia , Adulto , Antibacterianos/uso terapêutico , Cefazolina/uso terapêutico , Ecocardiografia Transesofagiana , Endocardite Bacteriana/diagnóstico por imagem , Endocardite Bacteriana/microbiologia , Humanos , Abscesso Pulmonar/diagnóstico por imagem , Abscesso Pulmonar/tratamento farmacológico , Masculino , Infecções Estafilocócicas/complicações , Infecções Estafilocócicas/microbiologia , Tomografia Computadorizada por Raios X , Insuficiência da Valva Tricúspide/diagnóstico por imagem , Insuficiência da Valva Tricúspide/etiologiaRESUMO
When feasible, mitral valve repair is the usual treatment of choice for correction of chronic mitral insufficiency. When valve replacement is required, chordal sparing is the preferred technique. Many investigators have pointed out the merits of preserving the subvalvular apparatus during mitral valve replacement. However, many surgeons hesitate to perform chordal-sparing mitral valve replacement because of its technical complexity and potential interference with mechanical valve leaflet motion. We present a modified technique of chordal-sparing mitral valve replacement to avoid these problems.
