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Acquired Left Ventricular-Right Atrial Communication After Mitral Valve Replacement and Tricuspid Annuloplasty
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  • Kazuhiko Uwabe,
  • Yasuhito Okuzono,
  • Noriyasu Masuda,
  • Hiroshi Furukawa
Kazuhiko Uwabe
Tokyo Joshi Ika Daigaku Fuzoku Adachi Iryo Center

Corresponding Author:[email protected]

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Yasuhito Okuzono
Tokyo Joshi Ika Daigaku Fuzoku Adachi Iryo Center
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Noriyasu Masuda
Tokyo Joshi Ika Daigaku Fuzoku Adachi Iryo Center
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Hiroshi Furukawa
Tokyo Joshi Ika Daigaku Fuzoku Adachi Iryo Center
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Abstract

A 77-year-old woman underwent mitral valve replacement and tricuspid annuloplasty for severe mitral stenosis and tricuspid regurgitation with pulmonary hypertension. Two months later, the patient was readmitted because of marked edema. A new harsh pansystolic murmur was auscultated, and echocardiography revealed a jet from the left ventricle to the right atrium but no perivalvular leakage was detected at the mitral valve position. At operation, an 6mm defect adjacent to the tricuspid annulus in the interatrial septum and detachment of the anterior edge of the tricuspid ring were detected. The defect was closed using a pericardial patch. An inadequate stitch at the anteroseptal commissure in the previous operation led to left ventricular-right atrial communication.
18 Jul 2022Submitted to Journal of Cardiac Surgery
19 Jul 2022Submission Checks Completed
19 Jul 2022Assigned to Editor
19 Jul 2022Reviewer(s) Assigned
20 Jul 2022Review(s) Completed, Editorial Evaluation Pending
25 Jul 2022Editorial Decision: Revise Major
02 Aug 20221st Revision Received
Nov 2022Published in Journal of Cardiac Surgery volume 37 issue 11 on pages 3922-3924. 10.1111/jocs.16898