Salhiyyah Kareem, Senanayake Eshan, Cooper Graham J
Department of Cardiothoracic Surgery, Northern General Hospital, Sheffield, United Kingdom.
J Card Surg. 2010 Mar;25(2):153-5. doi: 10.1111/j.1540-8191.2009.00966.x.
Surgical treatment of tricuspid valve endocarditis is challenging especially in intravenous drug users. We present a case of a 30-year-old male active drug user with anterior leaflet endocarditis treated successfully with valve repair. This was achieved through excision of the vegetation with part of the leaflet. Bovine pericardium was used to close the defect. The edges were reinforced with Teflon pledgeted polytetrafluoroethylene Gore-Tex neochordae (W.L. Gore & Associates, Flagstaff, AZ, USA). An annuloplasty ring was used to reinforce the whole annulus. Repair was competent and the patient recovered well. This technique is simple and effective and should be considered for similar cases.
三尖瓣心内膜炎的外科治疗具有挑战性，尤其是在静脉吸毒者中。我们报告一例30岁男性活跃吸毒者，其前叶心内膜炎经瓣膜修复成功治疗。这是通过切除赘生物及部分瓣叶来实现的。使用牛心包来封闭缺损。边缘用带垫片的聚四氟乙烯（特氟龙）戈尔补片（美国亚利桑那州弗拉格斯塔夫市的W.L.戈尔公司）加强。使用瓣环成形环来加固整个瓣环。修复效果良好，患者恢复顺利。该技术简单有效，类似病例应考虑采用。
