Modified Starnes Procedure in a Neonate With Severe Tricuspid Regurgitation

We report a modification of the Starnes technique for palliating severe tricuspid regurgitation associated with a dysplastic right ventricle in a neonate, using a fenestrated pericardial patch allowing for unidirectional flow. The patient eventually underwent a successful Glenn shunt construction wi...

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Veröffentlicht in:	The Annals of thoracic surgery 2012-02, Vol.93 (2), p.658-659
Hauptverfasser:	Muralidaran, Ashok, MD, Kim, Richard W., MD, Kopf, Gary S., MD, Pietris, Nicholas P., MD, Weeks, Bevin P., MD, Starnes, Vaughn A., MD, Shinoka, Toshiharu, MD, PhD
Format:	Artikel
Sprache:	eng
Schlagworte:	Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Bioprosthesis Cardiac Surgical Procedures - methods Cardiology. Vascular system Cardiothoracic Surgery Decompression, Surgical - methods Ductus Arteriosus, Patent Endocardial and cardiac valvular diseases Female Fontan Procedure Heart Heart Septal Defects, Atrial - surgery Heart Valve Prosthesis Heart Ventricles - abnormalities Humans Infant, Newborn Medical sciences Pericardium Pneumology Prosthesis Design Pulmonary Artery - surgery Pulmonary Atresia - surgery Surgery Tricuspid Valve - abnormalities Tricuspid Valve - surgery Tricuspid Valve Insufficiency - congenital Tricuspid Valve Insufficiency - surgery
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Beschreibung
Zusammenfassung:	We report a modification of the Starnes technique for palliating severe tricuspid regurgitation associated with a dysplastic right ventricle in a neonate, using a fenestrated pericardial patch allowing for unidirectional flow. The patient eventually underwent a successful Glenn shunt construction with a persistent reduction in right ventricle size at 1 year follow-up.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2011.07.021