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Eur J Cardiothorac Surg 2004;26:848-849
© 2004 Elsevier Science NL

Case report

Tricuspid valve repair in a case with congenital absence of left thoracic pericardium

^a Department of Cardiothoracic Surgery, University Hospital, 93042 Regensburg, Germany
^b Department of Cardiothoracic Surgery, University of Rostock, Rostock, Germany

Received 11 April 2004; received in revised form 17 May 2004; accepted 7 June 2004.

^* Corresponding author. Address: Klinikum der Universitaet Regensburg, Herz-, Thorax- und herznahe Gefaesschirurgie, Universität Regensburg, Franz-Josef-Strauss-Allee 11, 93042 Regensburg, Germany. Tel.: +49-941-944-9801; fax: +49-941-944-9802
e-mail: wolfgang.goetz{at}klinik.uni-regensburg.de

We present a case of severe tricuspid valve insufficiency because of disruption of the anterior tricuspid leaflet with congenital absence of left thoracic pericardium. Findings suggest that tricuspid valve disruption was a result of distorted right ventricular geometry because of luxation of the heart into left thoracic cavity. Tricuspid valve could be repaired by reinsertion of anterior tricuspid leaflet and De-Vega annuloplasty. Normal hemodynamic was obtained and weaning from cardio pulmonary bypass was possible by lifting the heart in orthotopic position using increased positive end expiratory pressure. Postoperative course was uneventful.

Key Words: Tricuspid insufficiency • Absence of pericard • Tricuspid valve repair

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