Tricuspid Valve Replacement Using Right Heart Bypass Without Cardiac and Pulmonary Ischemia

Tricuspid valve (TV) surgery is conventionally performed using total cardiopulmonary bypass (CPB) under cardiac arrest. It is inevitably associated with detrimental effects on the heart and lungs because of ischemia in these organs during CPB. A 30-year-old man with TV endocarditis underwent TV replacement using only right heart bypass with continuous pulmonary perfusion and with the heart beating. He recovered rapidly and was discharged from the hospital after a 4-week course of antibiotic therapy.