PMC4782471_01
Destroyed tricuspid valve with vegetations and necrotic tissues
APC-9-59-g001.jpg
PMC4782471_01_APC-9-59-g001.jpg
F1
Opening the right atrium revealed a destroyed tricuspid valve with vegetations and necrotic tissues around the coil [Figure 1].
PFM coil removed
APC-9-59-g002.jpg
PMC4782471_01_APC-9-59-g002.jpg
F2
The coil was removed, and the VSD was closed by an autologous pericardial patch using a continuous prolene suture [Figure 2].
Tissue valve implanted in the tricuspid position
APC-9-59-g003.jpg
PMC4782471_01_APC-9-59-g003.jpg
F3
The tricuspid valve could not be repaired and was replaced with a size 31 tissue valve [Figure 3].