P.Michael McFadden, John L Ochsner The Annals of Thoracic Surgery

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Presentation transcript:

Atrial Replacement and Tricuspid Valve Reconstruction After Angiosarcoma Resection P.Michael McFadden, John L Ochsner The Annals of Thoracic Surgery Volume 64, Issue 4, Pages 1164-1166 (October 1997) DOI: 10.1016/S0003-4975(97)00834-5

Fig. 1 Computed tomogram of the chest demonstrating an angiosarcoma (A) of the heart presenting as an anterior mediastinal mass. The Annals of Thoracic Surgery 1997 64, 1164-1166DOI: (10.1016/S0003-4975(97)00834-5)

Fig. 2 Resection of extensive cardiac angiosarcoma including right atrial wall, right ventricle, and portions of the tricuspid valve and annulus. Uninvolved anterior and septal tricuspid valve leaflets were preserved. (ATV, PTV, STV = anterior, posterior, and septal tricuspid valve leaflet; RA = right atrium.) The Annals of Thoracic Surgery 1997 64, 1164-1166DOI: (10.1016/S0003-4975(97)00834-5)

Fig. 3 Reconstruction of the cardiac defect after tumor resection. The right ventricular defect was plicated and the anterior tricuspid valve leaflet was resuspended to create a bicuspid atrioventricular valve. The right free atrial wall was replaced with bovine pericardium. (ATV = anterior tricuspid valve; RV = right ventricle.) The Annals of Thoracic Surgery 1997 64, 1164-1166DOI: (10.1016/S0003-4975(97)00834-5)

Fig. 4 Postoperative four-chamber echocardiogram (A) with color-flow Doppler image (B) demonstrating normal chamber size and trivial regurgitation from newly reconstructed right atrioventricular valve and atrium. (LA = left atrium; LV = left ventricle; RA = right atrium; RV = right ventricle; TV = tricuspid valve.) The Annals of Thoracic Surgery 1997 64, 1164-1166DOI: (10.1016/S0003-4975(97)00834-5)