Perforation of tricuspid pouch after tricuspid ring annuloplasty

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Presentation transcript:

Perforation of tricuspid pouch after tricuspid ring annuloplasty Mamoru Hamuro, MD, Shuji Setozaki, MD, PhD, Sakae Enomoto, MD, PhD, Akio Ikai, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 157, Issue 1, Pages e11-e13 (January 2019) DOI: 10.1016/j.jtcvs.2018.09.012 Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Preoperative transthoracic echocardiography (A) and enhanced computed tomography (B) showing subaortic aneurysm (asterisk) projecting from the left ventricle (LV) to the right ventricle (RV) and the right atrium (RA). Ao, Aorta; TV, tricuspid valve. The Journal of Thoracic and Cardiovascular Surgery 2019 157, e11-e13DOI: (10.1016/j.jtcvs.2018.09.012) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Surgical view of the ruptured tricuspid pouch through the right atriotomy during the second operation. The aneurysmlike tricuspid pouch (dot) is located inside the tricuspid annulus. AL, Anterior leaflet; VSD, ventricular septal defect; SL, septal leaflet; SVC, superior vena cava; IVC, inferior vena cava. The Journal of Thoracic and Cardiovascular Surgery 2019 157, e11-e13DOI: (10.1016/j.jtcvs.2018.09.012) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Surgical view of the ruptured tricuspid pouch after tricuspid ring annuloplasty. The Journal of Thoracic and Cardiovascular Surgery 2019 157, e11-e13DOI: (10.1016/j.jtcvs.2018.09.012) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Video 1 Case summary: preoperative and postoperative imaging studies and surgical findings. CT, Computed tomography; LV, left ventricle; RV, right ventricle; RA, right atrium; LVG, left ventriculography; VSD, ventricular septal defect; TR, tricuspid regurgitation. Video available at: https://www.jtcvs.org/article/S0022-5223(18)32511-X/fulltext. The Journal of Thoracic and Cardiovascular Surgery 2019 157, e11-e13DOI: (10.1016/j.jtcvs.2018.09.012) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions