Abstract
Female patient 21 years old was admitted into hospital with complaints for the short breath under small physical activity, ache at the heart
location, abnormal heart rhythms, decreasing exertion tolerance.
According to echocardiogram records the right segments of heart were considerably dilated due to the atrialised portion. The anterior cusp
was in a typical place at the level of the fibrous ring. Septal and posterior cusps were displaced into the right ventricular cavity for 25 and 20
mm respectively. The fibrous ring of the tricuspid valve was dilated up to 47 mm with incompetence of III–IV degree. The interatrial septum
was intact. MRT records: right ventricular cavity was dilated, the anterior wall became thin, hypokinesia of the anterior wall was noted along
the right ventricular outflow tract. The right ventricular wall thickness was 3–4 mm, interventricular septal thickness was 8 mm, the left ventricular
posterior wall thickness was 7 mm.
The operation was performed: tricuspid valvuloplasty with creation of the neoseptal cusp made from the tissue of the right atrium; suture
annuloplasty of the tricuspid valve; plication of the atrialised portion of the right ventricle; introducing of stem cells in the condition of cardiopulmonary
bypass, hypothermia up to 28 °C and combined pharmaco-cold cardioplegia. Intraoperative stage: the manifested hypoplasia
of the septal cusp of tricuspid valve was noted. ТК. Re-implantation of the posterior cusp of tricuspid valve was performed.
According to the 2D echocardiography in the postoperative period the satisfactory sealing function of tricuspid valve was noted with the residual
incompetence on tricuspid valve up to I degree. Patient was released from hospital on the 13th day in satisfactory condition and with recommendation
for further follow-up by her cardiologist.
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About the authors
Bockeria Leo Antonovich, academician, member of Russian Academy of Sciences and Russian Academy of Medical
Sciences, director of A. N. Bakoulev Scientific Center for Cardiovascular Surgery of Russian Academy of Medical
Sciences;
Bockeria Ol'ga Leonidovna, Doctor of Medical Sciences, professor, chief scientific associate,;
Rubtsov Pavel Petrovich, Master of Medical Sciences, junior scientific associate;
Sanakoev Merab Konstantinovich, Master of Medical Sciences, junior scientific associate
