Bircks W, Krian A, Meyer J, Schulte H D, Tokutsu S, Both A, Haerten K
Thoraxchir Vask Chir. 1976 Aug;24(4):286-90. doi: 10.1055/s-0028-1095930.
61 patient underwent operative repair of acquired tricuspid insufficiency (T.I.) during correction of multiple valvular disease. 45% presented a relative T.I. through annular dilatation, while organic lesions of the tricuspid valve were found in 56% of the patients. A tricuspid valvular replacement was carried out in 17, and a tricuspid annuloplasty in 44 patients. We believe that during surgical management of multiple valvular lesions, all tricuspid insufficiencies of even when only of a slight to moderate degree - should be corrected aggressively. Tricuspid valvular replacement should be avoided if possible and a tricuspid annuloplasty should be performed.
61例患者在纠正多瓣膜疾病过程中接受了后天性三尖瓣关闭不全（T.I.）的手术修复。45%的患者因瓣环扩张出现相对性T.I.，而56%的患者发现三尖瓣器质性病变。17例患者进行了三尖瓣置换术，44例患者进行了三尖瓣环成形术。我们认为，在多瓣膜病变的手术治疗中，即使是轻度至中度的所有三尖瓣关闭不全都应积极纠正。应尽可能避免进行三尖瓣置换术，而应进行三尖瓣环成形术。
