Midterm Follow-Up of Tricuspid Valve Reconstruction Due to Active Infective Endocarditis Roman Gottardi, MD, Jan Bialy, MD, Elena Devyatko, MD, Heinz.

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Midterm Follow-Up of Tricuspid Valve Reconstruction Due to Active Infective Endocarditis Roman Gottardi, MD, Jan Bialy, MD, Elena Devyatko, MD, Heinz Tschernich, MD, Martin Czerny, MD, Ernst Wolner, MD, Rainald Seitelberger, MD The Annals of Thoracic Surgery Volume 84, Issue 6, Pages 1943-1948 (December 2007) DOI: 10.1016/j.athoracsur.2007.04.116 Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Endocarditic lesion on the posterior leaflet. (B) Excision of the posterior leaflet. (C) Partial mobilization of the anterior and septal leaflet and preparation of plication sutures. (D) Bicuspid leaflet formation of the valve. (E) Stabilization of the valve with a tricuspid annuloplasty ring. The Annals of Thoracic Surgery 2007 84, 1943-1948DOI: (10.1016/j.athoracsur.2007.04.116) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Endocarditic lesion on the anterior leaflet (A), the posterior leaflet (B), or on both (C), anterior and septal leaflet (D–F) situs after excision of the endocarditic lesion, patch plasty, and stabilization of the valve with a tricuspid annuloplasty ring. The Annals of Thoracic Surgery 2007 84, 1943-1948DOI: (10.1016/j.athoracsur.2007.04.116) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Limited endocarditic lesion on the septal leaflet involving the subvalvular apparatus. (B) Resection of the infected or destroyed leaflet tissue and quadrangular excision of healthy leaflet tissue of the opposing leaflet. (C) Transposition of the leaflet. (D) Tailoring of the transposed leaflet tissue. (E) Sewing in of the transposed leaflet tissue and closure of the defect on the opposing leaflet. (F) Stabilization of the valve with a tricuspid annuloplasty ring. The Annals of Thoracic Surgery 2007 84, 1943-1948DOI: (10.1016/j.athoracsur.2007.04.116) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions