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Bioprosthetic Dysfunction Caused by Preserved Native Valve in Tricuspid Position

Department of Thoracic and Cardiovascular Surgery, Kitasato University, Kanagawa, Japan

For reprint information contact: Toshihide Asou, MD Tel: 81 45 711 2351 Fax: 81 45 742 7821 Email: surgeon{at}pf7.so-net.ne.jp, Department of Cardiovascular Surgery, Kanagawa Children’s Medical Center, 2-138-4 Mutsukawa, Minami-ku, Yokohama, Kanagawa 232-8555, Japan.

We report a 4-year-old girl who underwent replacement of a bioprosthetic valve in the tricuspid position due to rare bioprosthetic dysfunction. The bioprosthetic valve showed marked tricuspid insufficiency as well as stenosis caused by the adhesion of the preserved native valve leaflets to the undersurface of the implanted bioprosthesis.