Successful surgical repair of atrial septal defect associated with mitral regurgitation and tricuspid regurgitation
Noji, S.; Tsuchiya, K.; Ishitoya, H.; Sasaki, H.; Iida, Y.
Kyobu Geka. Japanese Journal of Thoracic Surgery 49(5): 408-411
1996
ISSN/ISBN: 0021-5252 PMID: 8992048 Document Number: 458200
A 63-year-old woman with atrial septal defect, mitral regurgitation, and tricuspid regurgitation underwent mitral valvuloplasty with 30 mm Carpentier ring, patch closure of atrial septal defect and tricuspid annuloplasty with 36 mm Carpentier ring. She was doing well now. In this case, preoperative catheterization showed left-to-right shunt ratio of 32% and right-to-left shunt ratio of 51%. The existence of right-to-left shunt was considered to be related to the grade of tricuspid regurgitation. It is concluded that in these cases, surgical repair should be recommended before the onset of severe progressive heart failure.