Key result
Tricuspid valve excision using the off-pump inflow occlusion technique was successfully performed in a 68-year-old man, highlighting the role of intra-operative TEE as a monitoring tool.
Case Report (n=1)
Demonstrates the feasibility of off-pump tricuspid valve excision using inflow occlusion and highlights the utility of intra-operative TEE monitoring.
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Should not change practice after one case; hypothesis-generating for off-pump tricuspid excision with TEE monitoring.
A pacing system infection may lead to infective endocarditis and systemic sepsis. Tricuspid valve surgery may be required if the valve is severely damaged in the process of endocarditis. Although, cardiopulmonary bypass is the safe choice for performing right-heart procedures, it may carry risk of inducing systemic inflammatory response and multi-organ dysfunction. Some studies have advocated TV surgery without institution of CPB. We report tricuspid valve excision using the off-pump inflow occlusion technique in a 68-year-old man. We also describe role of intra-operative TEE as a monitoring tool at different stages of the surgical procedure.
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Gadhinglajkar et al. (2010) conducted a case report in Pacing system infection and infective endocarditis (n=1). Tricuspid valve excision using off-pump inflow occlusion technique and intra-operative TEE was evaluated. Tricuspid valve excision using the off-pump inflow occlusion technique was successfully performed in a 68-year-old man, highlighting the role of intra-operative TEE as a monitoring tool.
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