Glenn Shunt as an Alternative Procedure for Rheumatoid Triple Valve Disease with Tricuspid Stenosis

Abstract

A 41-year-old woman with rheumatoid triple valve disease was operated. Mitral and aortic valves were replaced with prosthetic valves. The tricuspid valve annulus was highly stenotic (valve area: 1.4 cm(2)), therefore a bidirectional Glenn Shunt procedure was performed to preserve the right ventricular function. In the long term, 4 years after the operation, the patient is still hemodynamically stable.