Dreyfus Gilles D, Raja Shahzad G, John Chan Kok Meng
Department of Cardiac Surgery, Royal Brompton and Harefield NHS Trust, Harefield Hospital, Hill End Road, Harefield, Middlesex UB96JH, United Kingdom.
Eur J Cardiothorac Surg. 2008 Oct;34(4):908-10. doi: 10.1016/j.ejcts.2008.07.006. Epub 2008 Aug 9.
This paper describes a technique for treating severe tricuspid regurgitation due to severe tethering of the tricuspid valve leaflets. The anterior tricuspid leaflet is augmented by use of an autologous pericardial patch, which increases its size, and hence its surface area of coaptation, allowing increased leaflet coaptation to occur with reduced tension within the right ventricle. A Carpentier-Edwards annuloplasty ring is then implanted. We have successfully performed this operation in 15 patients with severe tricuspid regurgitation due to severe leaflet tethering and have achieved complete elimination of tricuspid regurgitation with good coaptation of the tricuspid leaflets. We describe this simple and easily reproducible technique to treat severe tricuspid regurgitation due to tethering of the tricuspid valve leaflets.
本文描述了一种治疗因三尖瓣小叶严重受限导致的严重三尖瓣反流的技术。通过使用自体心包补片增大前叶三尖瓣小叶，从而增加其贴合面积，使得小叶在右心室内以更低张力实现更多贴合。然后植入Carpentier-Edwards瓣环成形环。我们已成功为15例因小叶严重受限导致严重三尖瓣反流的患者实施了该手术，且已完全消除三尖瓣反流，三尖瓣小叶实现良好贴合。我们描述了这种简单且易于重复的技术，用于治疗因三尖瓣小叶受限导致的严重三尖瓣反流。
