{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,22]],"date-time":"2025-02-22T00:44:26Z","timestamp":1740185066389,"version":"3.37.3"},"reference-count":4,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,8,21]],"date-time":"2024-08-21T00:00:00Z","timestamp":1724198400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,8,21]],"date-time":"2024-08-21T00:00:00Z","timestamp":1724198400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Gen Thorac Cardiovasc Surg Cases"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Redo isolated tricuspid valve surgery has high in-hospital mortality and morbidity and is a challenging procedure. We report a successful case of redo isolated tricuspid valve replacement for structural valve deterioration of a bioprosthesis in a patient with isolated persistent left superior vena cava (PLSVC).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>An 81-year-old man with a history of tricuspid valve replacement using a porcine bioprosthetic valve 9\u00a0years previously presented with dyspnea on exertion. Right heart failure due to worsening transvalvular leakage in the bioprosthetic tricuspid valve was considered to be the cause of his symptoms, and the decision was made to replace the tricuspid valve. An isolated PLSVC is considered to be an obstacle in right-sided heart valve surgery. The PLSVC was located deep to the left of the pulmonary artery and, after some effort, was cannulated by obtaining an excellent surgical view using retraction sutures on the left side of the pericardium. Cardiopulmonary bypass was initiated after cannulation of the ascending aorta, PLSVC, and femoral vein. After cross-clamping of the ascending aorta, cold blood cardioplegic arrest was induced under moderate hypothermia, and the PLSVC and inferior vena cava were snared. The right atrium was opened and the prosthetic tricuspid valve was examined. One of the leaflets was shortened, which appeared to cause the transvalvular leak. The prosthetic valve was explanted, the annulus was trimmed, and a new bioprosthetic valve was implanted. The postoperative course was uneventful.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>It is important to treat structural valve deterioration of a prosthetic tricuspid valve in a timely manner. We hope that our intervention timing and surgical strategy can help surgeons to consider early intervention in similar cases, even if there are surgical obstacles such as isolated PLSVC.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s44215-024-00160-8","type":"journal-article","created":{"date-parts":[[2024,8,22]],"date-time":"2024-08-22T14:49:40Z","timestamp":1724338180000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Redo isolated tricuspid valve replacement in a patient with isolated persistent left superior vena cava: a case report"],"prefix":"10.1186","volume":"3","author":[{"given":"Ryotaro","family":"Yamada","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8806-5110","authenticated-orcid":false,"given":"Homare","family":"Okamura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rie","family":"Iwasaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Yamaguchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,8,21]]},"reference":[{"key":"160_CR1","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1007\/s11748-023-01945-4","volume":"71","author":"K Minatoya","year":"2023","unstructured":"Minatoya K, Sato Y, Toh Y, Abe T, Endo S, Hirata Y, et al. Thoracic and cardiovascular surgeries in Japan during 2019: annual report by the Japanese Association for Thoracic Surgery. Gen Thorac Cardiovasc Surg. 2023;71:595\u2013628.","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"160_CR2","doi-asserted-by":"publisher","first-page":"111","DOI":"10.5761\/atcs.oa.18-00195","volume":"25","author":"N Fukunaga","year":"2019","unstructured":"Fukunaga N, Koyama T. Early and late outcomes of isolated tricuspid valve surgery following valvular surgery. Ann Thorac Cardiovasc Surg. 2019;25:111\u20136.","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"160_CR3","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1186\/s13244-020-00906-2","volume":"11","author":"A Azizova","year":"2020","unstructured":"Azizova A, Onder O, Arslan S, Ardali S, Hazirolan T. Persistent left superior vena cava: clinical importance and differential diagnoses. Insights Imaging. 2020;11:110.","journal-title":"Insights Imaging"},{"key":"160_CR4","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1111\/j.1540-8191.2011.01376.x","volume":"27","author":"ZQ Luo","year":"2012","unstructured":"Luo ZQ, Liu KY, Han Z, Zhou C, Liu FL, Zhou XD. Surgical management of persistent left superior vena cava associated with an absent right superior vena cava. J Card Surg. 2012;27:117\u20138.","journal-title":"J Card Surg"}],"container-title":["General Thoracic and Cardiovascular Surgery Cases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s44215-024-00160-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s44215-024-00160-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s44215-024-00160-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,23]],"date-time":"2024-08-23T09:15:20Z","timestamp":1724404520000},"score":1,"resource":{"primary":{"URL":"https:\/\/gtcscases.biomedcentral.com\/articles\/10.1186\/s44215-024-00160-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,21]]},"references-count":4,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["160"],"URL":"https:\/\/doi.org\/10.1186\/s44215-024-00160-8","relation":{},"ISSN":["2731-6203"],"issn-type":[{"type":"electronic","value":"2731-6203"}],"subject":[],"published":{"date-parts":[[2024,8,21]]},"assertion":[{"value":"12 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 July 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 August 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"A statement on ethics approval and consent to participate was obtained.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"37"}}