Modified Starnes Procedure in a Neonate With Severe Tricuspid Regurgitation Ashok Muralidaran, MD, Richard W. Kim, MD, Gary S. Kopf, MD, Nicholas P. Pietris,

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Modified Starnes Procedure in a Neonate With Severe Tricuspid Regurgitation Ashok Muralidaran, MD, Richard W. Kim, MD, Gary S. Kopf, MD, Nicholas P. Pietris, MD, Bevin P. Weeks, MD, Vaughn A. Starnes, MD, Toshiharu Shinoka, MD, PhD The Annals of Thoracic Surgery Volume 93, Issue 2, Pages 658-659 (February 2012) DOI: 10.1016/j.athoracsur.2011.07.021 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The modified patch with a one-way flap valve covering the 4-mm fenestration. The Annals of Thoracic Surgery 2012 93, 658-659DOI: (10.1016/j.athoracsur.2011.07.021) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Comparison of (A) preoperative and (B) postoperative (6 months after surgery) echocardiograms showing a reduction in right atrial and ventricular sizes. (LV = left ventricle; RA = right atrium; RV = right ventricle.) The Annals of Thoracic Surgery 2012 93, 658-659DOI: (10.1016/j.athoracsur.2011.07.021) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Postoperative echocardiogram at 6 month follow-up showing regurgitant flow across the (A) tricuspid patch and (B) no forward flow into the right ventricle. The Annals of Thoracic Surgery 2012 93, 658-659DOI: (10.1016/j.athoracsur.2011.07.021) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions