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鲁登巴赫综合征：三尖瓣环成形术的困境。

Lutembacher syndrome: Dilemma of doing a tricuspid annuloplasty.

作者信息

Varsha A V, George Gladdy, Sahajanandan Raj

机构信息

Department of Cardiothoracic Surgery, Christian Medical College, Vellore, Tamil Nadu, India.

Department of Anaesthesiology, Christian Medical College, Vellore, Tamil Nadu, India.

出版信息

Ann Card Anaesth. 2017 Oct-Dec;20(4):456-458. doi: 10.4103/aca.ACA_36_17.

DOI:10.4103/aca.ACA_36_17
PMID:28994686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5661320/
Abstract

We discuss the case of a 24-year-old woman with Lutembacher syndrome and severe tricuspid regurgitation (TR) who underwent surgical closure of atrial septal defect and mitral valve replacement without tricuspid annuloplasty despite a severe TR and a large tricuspid annulus on preoperative echo. The pathophysiology of Lutembacher syndrome is discussed below. The utility of perioperative echocardiography in assessing the annular diameter, tenting area and coaptation depth and thus providing insights into the functioning of the tricuspid valve will also be emphasized.

摘要

我们讨论了一名24岁患有鲁登巴赫综合征和严重三尖瓣反流（TR）的女性病例，尽管术前超声心动图显示存在严重TR和较大的三尖瓣环，但该患者在未进行三尖瓣环成形术的情况下接受了房间隔缺损手术闭合和二尖瓣置换术。下文将讨论鲁登巴赫综合征的病理生理学。还将强调围手术期超声心动图在评估瓣环直径、帐篷区和瓣叶对合深度从而深入了解三尖瓣功能方面的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ba/5661320/4f3c34ebd286/ACA-20-456-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ba/5661320/f1eed17ab4f3/ACA-20-456-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ba/5661320/4f3c34ebd286/ACA-20-456-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ba/5661320/f1eed17ab4f3/ACA-20-456-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66ba/5661320/4f3c34ebd286/ACA-20-456-g002.jpg

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本文引用的文献

1
Approaches to the management of functional tricuspid regurgitation.功能性三尖瓣反流的管理方法。
J Comp Eff Res. 2015 Nov;4(6):665-76. doi: 10.2217/cer.15.46. Epub 2015 Nov 4.
2
Functional tricuspid regurgitation: a need to revise our understanding.功能性三尖瓣反流：需要重新认识。
J Am Coll Cardiol. 2015 Jun 2;65(21):2331-6. doi: 10.1016/j.jacc.2015.04.011.
3
Current diagnostic and treatment strategies for Lutembacher syndrome: the pivotal role of echocardiography.鲁登巴赫综合征的当前诊断和治疗策略：超声心动图的关键作用
鲁登巴赫综合征合并部分性肺静脉异常连接及三尖瓣反流的外科完全矫正术。
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Unusual Cause of Stroke.中风的罕见病因。
Cureus. 2020 Nov 17;12(11):e11517. doi: 10.7759/cureus.11517.
Cardiovasc Diagn Ther. 2015 Apr;5(2):122-32. doi: 10.3978/j.issn.2223-3652.2015.03.07.
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Surgical approach to functional tricuspid regurgitation: should we be more aggressive?功能性三尖瓣反流的手术治疗策略：我们是否应该更激进一些？
Curr Opin Cardiol. 2014 Mar;29(2):133-9. doi: 10.1097/HCO.0000000000000046.
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Geometric changes after tricuspid annuloplasty and predictors of residual tricuspid regurgitation: a real-time three-dimensional echocardiography study.三尖瓣环成形术后的几何变化及残余三尖瓣反流的预测因素：实时三维超声心动图研究。
Eur Heart J. 2010 Dec;31(23):2871-80. doi: 10.1093/eurheartj/ehq227. Epub 2010 Jul 2.
6
Geometric changes of tricuspid valve tenting in tricuspid regurgitation secondary to pulmonary hypertension quantified by novel system with transthoracic real-time 3-dimensional echocardiography.采用经胸实时三维超声心动图新技术系统对肺动脉高压继发三尖瓣反流时三尖瓣瓣叶帐篷样改变的几何形态变化进行定量分析。
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