Green Lane Paediatric and Congenital Cardiac Services, Starship Children's Hospital, Grafton, Auckland, New Zealand.
Ann Thorac Surg. 2012 Jun;93(6):2081-3. doi: 10.1016/j.athoracsur.2011.12.074.
Operations for left atrioventricular valve insufficiency after repair of an atrioventricular septal defect can be challenging. Repair techniques largely depend on closure of the residual cleft in the anterior leaflet in conjunction with a posterior annuloplasty. Profound deficiencies in anterior leaflet tissue can make primary cleft closure impractical. A simplified technique, in which cleft closure is supported by triangular-shaped patch material, is presented along with results in 13 patients.
三尖瓣隔瓣修补术后合并二尖瓣关闭不全的手术处理颇具挑战性。修复技术主要取决于前瓣裂的关闭以及后瓣环成形术。前瓣叶组织严重缺失会使直接关闭瓣裂变得不切实际。本文提出了一种简化技术，即采用三角形补片来支持瓣裂关闭，并报告了 13 例患者的结果。
