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The Annals of Thoracic Surgery, Vol 52, 1337-1339, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

Use of a pericardial patch to bridge the conduction tissue during tricuspid valve replacement

E Milgalter and H Laks
Division of Cardiothoracic Surgery, UCLA Medical Center 90024-1741.

Tricuspid valve replacement carries a risk of causing complete heart block. To reduce this risk, a technique was developed to bridge the conduction system during prosthetic valve insertion in the tricuspid position. This technique, in which a pericardial patch is used to bridge the triangle of Koch, was performed successfully in 4 patients who underwent tricuspid valve replacement for Ebstein's anomaly of the tricuspid valve.

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