Department of Thoracic and Cardiovascular Surgery, Cardiovascular Institute, Chonbuk National University Medical School, Jeonju, Chonbuk, South Korea.
Ann Thorac Surg. 2011 Dec;92(6):e131-3. doi: 10.1016/j.athoracsur.2011.08.019.
We describe a technique for treating severe functional tricuspid regurgitation (TR) when residual regurgitation cannot be eliminated with ring annuloplasty alone. The anterior leaflet and the anterior half of the posterior leaflet are augmented with an elliptic pericardial patch before implantation of a rigid annuloplasty ring. We successfully performed this procedure in 9 patients with severe TR due to severe leaflet tethering or short coaptation length and achieved complete elimination of TR with sufficient coaptation length in tricuspid valve leaflets for all patients.
我们描述了一种技术，用于治疗严重的功能性三尖瓣反流（TR），当单独使用瓣环成形术无法消除残余反流时。在前瓣叶和后瓣叶的前半部分用一个椭圆形的心包膜补片进行增强，然后再植入一个硬性瓣环成形环。我们成功地对 9 例由于严重瓣叶牵拉或短对合长度导致的严重 TR 患者实施了该手术，所有患者的三尖瓣瓣叶均获得了足够的对合长度，从而完全消除了 TR。
