Growth of the distal aorta after repair of acute type A dissection is typically slow and linear. Distal reoperation is uncommon, and late risk of death is approximately twice that of a healthy population.
In 1987, a 7-year-old girl was successfully operated on for dysplasia of the tricuspid valve with severe tricuspid regurgitation. This was the first reported case in which a prosthetic valve had been inserted for a congenitally dysplastic tricuspid valve other than in Ebstein's anomaly. ~ We herein report the follow-up of this case.The patient's preoperative clinical state was New York Heart Association class IV. She underwent tricuspid valve replacement for severe tricuspid regurgitation with a 31 mm bileaflet mechanical CarboMedics heart valve prosthesis (CarboMedics, Inc., Austin, Tex.
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