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创伤性三尖瓣反流后使用CardioCel补片修复三尖瓣小叶

Repair of Tricuspid Valve Leaflet With CardioCel Patch After Traumatic Tricuspid Regurgitation.

作者信息

Konstantinidou Maria Kalliopi, Moat Neil

机构信息

Cardiothoracic Surgery, Royal Brompton and Harefield NHS Trust, London, United Kingdom.

Cardiothoracic Surgery, Royal Brompton and Harefield NHS Trust, London, United Kingdom.

出版信息

Ann Thorac Surg. 2017 Sep;104(3):e221-e223. doi: 10.1016/j.athoracsur.2017.04.022.

Abstract

Posttraumatic tricuspid valve regurgitation (TR) is a rare entity and is almost always associated with blunt chest trauma. It is usually identified by transthoracic echocardiography after the manifestation of clinical symptoms of heart failure. Treatment varies from long-term medical therapy and observation to surgical correction with tricuspid valve replacement or repair. We describe the case of a 26-year-old man who was involved in a major road traffic accident and was referred for surgical repair a year later because of severe posttraumatic TR. The tricuspid valve was successfully reconstructed with a CardioCel patch, Gore-Tex neochordae, and a tricuspid ring. The patient recovered well.

摘要

创伤后三尖瓣反流(TR)是一种罕见病症,几乎总是与钝性胸部创伤相关。通常在出现心力衰竭临床症状后通过经胸超声心动图进行诊断。治疗方法从长期药物治疗和观察到三尖瓣置换或修复的手术矫正不等。我们描述了一名26岁男性的病例,他遭遇了一起严重的道路交通事故,一年后因严重的创伤后TR被转诊进行手术修复。使用CardioCel补片、戈尔特斯人工腱索和三尖瓣环成功重建了三尖瓣。患者恢复良好。

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