创伤性三尖瓣反流的成功修复。

Successful repair of traumatic tricuspid valve regurgitation.

作者信息

Fujiwara Keiichi, Hisaoka Takahiro, Komai Hiroyoshi, Nishimura Yoshiharu, Yamamoto Shuji, Okamura Yoshitaka

机构信息

Department of Thoracic and Cardiovascular Surgery, Wakayama Medical University, Wakayama, Japan.

出版信息

Jpn J Thorac Cardiovasc Surg. 2005 May;53(5):259-62. doi: 10.1007/s11748-005-0036-4.

DOI:10.1007/s11748-005-0036-4

PMID:15952318

Abstract

Isolated traumatic tricuspid valve regurgitation is an uncommon complication of blunt chest trauma. Tricuspid valve replacement has been ordinarily managed for this lesion. Herein, we report two cases of successful repair for traumatic tricuspid valve regurgitation, 11 and 40 years following blunt chest trauma, respectively. Tricuspid valve repairs were performed using an artificial chordae implantation with expanded polytetrafluoroethylene (CV-5) sutures and ring annuloplasty. Postoperative echocardiography revealed that the tricuspid valve regurgitation improved to mild and trivial respectively in two patients. They are presently doing well, 4 and 2 years after the repair, respectively.

摘要

孤立性创伤性三尖瓣反流是钝性胸部创伤的一种罕见并发症。对于这种病变，通常采用三尖瓣置换术进行治疗。在此，我们报告两例钝性胸部创伤后分别于11年和40年成功修复创伤性三尖瓣反流的病例。采用膨体聚四氟乙烯（CV - 5）缝线人工腱索植入和瓣环成形术进行三尖瓣修复。术后超声心动图显示，两名患者的三尖瓣反流分别改善为轻度和微量。修复术后4年和2年，他们目前情况良好。