Tricuspid valve replacement through a left atriotomy and transseptal approach in a congenitally malformed heart.

More and more children with congenital heart disease are surviving into adulthood. These patients are forcing adult congenital cardiac surgeons to develop innovative approaches to correct their complex anatomy and physiology. This report describes a patient with a congenitally malformed heart necessitating a novel approach to access the tricuspid valve--a left atriotomy and transseptal incision. Three-dimensional preoperative imaging allowed for successful surgical planning.