Division of Cardiovascular Surgery, Peter Munk Cardiac Centre, Toronto General Hospital-University Health Network, Toronto, Ontario, Canada.
Division of Cardiovascular Surgery, Peter Munk Cardiac Centre, Toronto General Hospital-University Health Network, Toronto, Ontario, Canada.
Ann Thorac Surg. 2014 Mar;97(3):1048-50. doi: 10.1016/j.athoracsur.2013.05.117.
Surgical repair of tricuspid regurgitation after medical management of infective endocarditis can present a challenging scenario. We present the case of a 53-year-old man in whom a conventional tricuspid valve operation was deemed suboptimal. Instead, we used a commercially available extracellular matrix (ECM) to perform an extensive reconstruction of his tricuspid valve. Follow-up shows dramatic symptomatic resolution and reverse remodeling of his dilated right ventricle.
经内科治疗感染性心内膜炎后，三尖瓣反流的手术修复可能会带来挑战。我们报告了一例 53 岁男性患者的病例，该患者经评估认为传统三尖瓣手术效果不佳。因此，我们使用一种市售的细胞外基质（ECM）对其三尖瓣进行了广泛的重建。随访显示，患者症状明显缓解，扩张的右心室也得到了逆重构。
