We report a case of partial replacement of the tricuspid valve by a mi
tral homograft in a young drug addict with right heart endocarditis, O
peration was indicated because of sudden severe tricuspid regurgitatio
n and persistence of vegetations despite appropriate antibiotic therap
y. Partial tricuspid valve replacement was performed with a segment of
mitral homograft reinforced by a semirigid prosthetic ring, At 30-mon
th postoperative follow-up the patient was in excellent clinical condi
tion with a satisfactory echocardiographic result. (C) 1997 by The Soc
iety of Thoracic Surgeons.