Robert W. Loar, MD, Shiraz A

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Presentation transcript:

Complex Surgical Repair of a Flail Tricuspid Valve After Chest Wall Trauma in a Pediatric Patient Robert W. Loar, MD, Shiraz A. Maskatia, MD, Ericka Scheller McLaughlin, DO, Antonio R. Mott, MD, Iki Adachi, MD, Charles D. Fraser, MD The Annals of Thoracic Surgery Volume 101, Issue 3, Pages e65-e67 (March 2016) DOI: 10.1016/j.athoracsur.2015.09.041 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Transthoracic echocardiogram (A) with and (B) without color flow mapping. There are flail chordae (arrow) to anterior tricuspid valve leaflet with severe prolapse and severe tricuspid regurgitation. Right atrium is moderately dilated. The Annals of Thoracic Surgery 2016 101, e65-e67DOI: (10.1016/j.athoracsur.2015.09.041) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A, B) Three-dimensional transesophageal echocardiogram. Anterior papillary muscle is completely avulsed from right ventricle and flails into right atrium in systole. There is poor coaptation of anterior leaflet. Asterisk represents avulsed papillary muscle of anterior leaflet. (RA = right atrium; RAA = right atrial appendage; RV = right ventricle.) The Annals of Thoracic Surgery 2016 101, e65-e67DOI: (10.1016/j.athoracsur.2015.09.041) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions