Boyd Jack H, Edelman J James B, Scoville David H, Woo Y Joseph
Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Department of Cardiothoracic Surgery, University of Sydney, Royal Prince Alfred Hospital, The Baird Institute, Sydney, Australia.
Ann Cardiothorac Surg. 2017 May;6(3):248-254. doi: 10.21037/acs.2017.05.06.
Tricuspid regurgitation (TR) represents a significant disease process and when severe, is associated with increased mortality. Recent guidelines support a more aggressive approach to tricuspid valve (TV) surgery, especially when encountered with left-sided valvular pathology. While annuloplasty has been the standard treatment for TR, it may not provide as effective or durable a repair compared to annuloplasty combined with TV repair techniques. Several of these approaches are discussed including bicuspidalization, anterior leaflet augmentation, edge to edge repair, neochords, leaflet resection and combined approaches. Although patient cohorts in most of the studies examining these techniques are small, the long-term durability of TV repair is significant.
三尖瓣反流（TR）是一种严重的疾病过程，严重时与死亡率增加相关。最近的指南支持对三尖瓣（TV）手术采取更积极的方法，特别是在合并左侧瓣膜病变时。虽然瓣环成形术一直是TR的标准治疗方法，但与瓣环成形术联合TV修复技术相比，它可能无法提供同样有效或持久的修复效果。本文讨论了几种修复方法，包括双瓣化、前叶增大、边缘对边缘修复、新腱索、瓣叶切除及联合方法。尽管大多数研究这些技术的患者队列规模较小，但TV修复的长期耐久性显著。
