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Surgical repair of tricuspid valve leaflet tear following percutaneous closure of perimembranous ventricular septal defect using Amplatzer duct occluder I: Report of two cases


1 Seth G. S. Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India
2 Narayana Health City, Bengaluru, Karnataka, India
3 Glenmark Cardiac Centre, Mumbai, Maharashtra, India

Correspondence Address:
Bharat Dalvi
Glenmark Cardiac Centre, D L Vaidya Marg, Dadar West, Mumbai - 400 028, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.197052

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Year : 2017  |  Volume : 10  |  Issue : 1  |  Page : 61-64

 

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Tricuspid valve (TV) injury following transcatheter closure of perimembranous ventricular septal defect (PMVSD) with Amplatzer ductal occluder I (ADO I), requiring surgical repair, is rare. We report two cases of TV tear involving the anterior and septal leaflets following PMVSD closure using ADO I. In both the patients, the subvalvular apparatus remained unaffected. The patients presented with severe tricuspid regurgitation (TR) 6 weeks and 3 months following the device closure. They underwent surgical repair with patch augmentation of the TV leaflets. Postoperatively, both are asymptomatic with a mild residual TR.






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1 Seth G. S. Medical College and KEM Hospital, Parel, Mumbai, Maharashtra, India
2 Narayana Health City, Bengaluru, Karnataka, India
3 Glenmark Cardiac Centre, Mumbai, Maharashtra, India

Correspondence Address:
Bharat Dalvi
Glenmark Cardiac Centre, D L Vaidya Marg, Dadar West, Mumbai - 400 028, Maharashtra
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.197052

Rights and Permissions

Tricuspid valve (TV) injury following transcatheter closure of perimembranous ventricular septal defect (PMVSD) with Amplatzer ductal occluder I (ADO I), requiring surgical repair, is rare. We report two cases of TV tear involving the anterior and septal leaflets following PMVSD closure using ADO I. In both the patients, the subvalvular apparatus remained unaffected. The patients presented with severe tricuspid regurgitation (TR) 6 weeks and 3 months following the device closure. They underwent surgical repair with patch augmentation of the TV leaflets. Postoperatively, both are asymptomatic with a mild residual TR.






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