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Repair of a Sinus Venosus Defect, Replacement of an Unsuccessful Mitral Valve Repair and Tricuspid Repair
Gaudiani V, Tsau P, Nair D. Repair of a Sinus Venosus Defect, Replacement of an Unsuccessful Mitral Valve Repair and Tricuspid Repair. October 2024. doi:10.25373/ctsnet.27183402
This video shows an 80-year-old patient who had severe mitral and tricuspid regurgitation with pulmonary hypertension and, intraoperatively, was found to have a sinus venosus defect.
Dr. Vince Gaudiani found the sinus venous defect when he was ready to place a right superior vein vent and discovered that the right superior pulmonary vein (RSPV) was draining into the superior vena cava (SVC). The right atrium was then opened, and the small-bore catheter (SBC) cannula was moved into the innominate vein. Prior to repairing the sinus venosus defect, the mitral valve was approached through the defect.
An initial repair was attempted, but eventually it required replacement. The sinus venosus defect was addressed with a baffle and the tricuspid was repaired with a 34 mm annuloplasty ring.
In this video, there is a discussion about how the mitral valve was unsuccessfully repaired and eventually needed replacement.
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