Redo Pulmonary Valve Replacement, Tricuspid Replacement, and Mitral Repair With Right Atrial Reduction 

This video shows a 55-year-old patient who underwent an open pulmonary valvotomy in 1967.  He presented with a 10cm right atrium, free pulmonary regurgitation, tricuspid regurgitation, and mitral regurgitation.

First, Dr. Gaudiani cannulated the femoral vein and performed a full sternotomy. He then placed a right superior pulmonary vein vent and cannulated the superior vena cava (SVC) and aorta with antegrade del Nido cardioplegia.

The right atrium was then opened, and the pacing wires were removed. The mitral valve was repaired with an annuloplasty ring. Then, the pulmonary valve and the tricuspid valve were replaced with tissue valves.  Finally, the right atrium was reduced in size.

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