Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, 2-1-1 Minatozimaminami, Chuo, Kobe, Hyogo, 650-0047, Japan.
Surg Today. 2013 Mar;43(3):341-4. doi: 10.1007/s00595-012-0259-9. Epub 2012 Jul 14.
We, herein, report the use of tricuspid leaflet augmentation with an autologous pericardial patch to treat a patient with severe tricuspid regurgitation (TR) that occurred after suture annuloplasty. The patient underwent mitral valve replacement for rheumatic mitral disease and tricuspid suture annuloplasty for moderate TR 23 years ago. She developed right-sided heart failure associated with severe TR. Leaflet augmentation with an autologous pericardial patch and ring annuloplasty were applied at redo surgery. Postoperative echocardiography showed trivial TR with significant improvement of the patient's symptoms. We have now performed this technique on three cases of severe recurrent TR that occurred after suture annuloplasty, and excellent early results were obtained in each case.
我们在此报告一例使用自体心包补片行三尖瓣叶瓣环成形术治疗瓣环成形术后重度三尖瓣反流（TR）的病例。该患者 23 年前因风湿性二尖瓣疾病行二尖瓣置换术，同时因中度 TR 行三尖瓣缝线环成形术。此次因右侧心力衰竭伴重度 TR 行再次手术。于再次手术中行三尖瓣叶瓣环成形术及补片环成形术。术后超声心动图显示 TR 为轻度，患者症状明显改善。我们目前已在三例因缝线环成形术后复发的重度 TR 患者中应用该技术，且均取得了良好的早期效果。
