Aaron W. Eckhauser* and Phillip T. Burch
Department of Cardiothoracic Surgery, University of Utah and Primary Children’s Hospital, USAFulltext PDF
A small subset of patients with ventricular septal defects (VSD) is noted on echocardiography to have partially occlusive ventricular septal aneurysmal (VSA) tissue. These patients are often managed medically in anticipation of spontaneous closure. However, we have found that rather than being indicative of spontaneous closures this echocardiographic aneurysmal tissue can be misinterpreted, and represents a specific pattern of damage to the tricuspid valve. If echocardiographic VSA develops in the setting of a perimembranous VSD, contrary to historical practice, we feel that consideration should be given to earlier operation to limit progressive valve injury. Various techniques are available to surgically address tricuspid valve dysfunction during repair of a VSD, but we present a simple and reproducible technique to reliably repair the valve in this unique subset of patients.
Congenital heart disease, CHD; CHD, Septal defects; CHD; Valve; Heart valve repair; Tricuspid valve
Eckhauser AW, Burch PT. A Reproducible Technique to Repair Tricuspid Valve Dysfunction Associated with a Chronic Ventricular Septal Defect. Clin Surg. 2017; 2: 1485.