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三尖瓣心内膜炎合并间接型 Gerbode 缺损:后瓣隔叶移位。

Tricuspid endocarditis with indirect Gerbode: septal translocation of posterior leaflet.

机构信息

Department of Cardiovascular and Thoracic Surgery, Sree Chitra Tirunal Institute for Medical Science and Technology, Trivandrum 695011, Kerala, India.

出版信息

Heart Lung Circ. 2011 Jun;20(6):362-4. doi: 10.1016/j.hlc.2010.12.007. Epub 2011 Apr 21.

Abstract

Tricuspid valve endocarditis with acquired Gerbode defect is rare and can be quiet challenging to the surgeon, often requiring complex repair procedures. We present a technique for Gerbode shunt closure using pericardial patch and reconstruction of the tricuspid valve by septal translocation of posterior tricuspid leaflet, which resulted in a good and competent tricuspid valve with no residual shunt.

摘要

三尖瓣心内膜炎合并获得性 Gerbode 缺损较为罕见,对术者极具挑战性,往往需要复杂的修复手术。我们采用心包补片技术闭合 Gerbode 分流,并通过后瓣隔叶瓣部移位重建三尖瓣,成功地使三尖瓣恢复良好的功能,且无残余分流。

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