改良技术用于治疗埃布斯坦畸形中严重三尖瓣畸形的外科手术

Modified technique for the surgical treatment of severe tricuspid valve deformity in Ebstein's anomaly.

作者信息

Bichell David P V, Mora Bassem N, Mathewson James W, Kirkpatrick Stanley K, Tyner Jeffrey J, McLees-Palinkas Terri

机构信息

Department of Surgery, Section of Cardiac and Thoracic Surgery, University of Chicago, Chicago, Illinois 60637, USA.

出版信息

Ann Thorac Surg. 2007 Feb;83(2):678-80. doi: 10.1016/j.athoracsur.2006.07.011.

DOI:10.1016/j.athoracsur.2006.07.011

PMID:17258014

Abstract

Distortion of septal and atrial anatomy in Ebstein's anomaly places the atrioventricular node and His bundle at risk for injury at operation. We present a novel technique for creating a robust neo-annulus, remote from conduction tissue, adding to the armamentarium of techniques available for the reconstruction or replacement of the tricuspid valve. Three cases are described. All the patients were in sinus rhythm, with competent native or bioprosthetic valves, at short-term follow-up.

摘要

埃布斯坦畸形中房间隔和心房解剖结构的扭曲使房室结和希氏束在手术时有受伤风险。我们提出了一种新技术，用于创建一个远离传导组织的坚固新瓣环，为三尖瓣重建或置换可用技术增添了新方法。本文描述了3例病例。在短期随访中，所有患者均为窦性心律，自身瓣膜或生物瓣膜功能良好。