Harold Katherine Henderson, Webster Michael
From the Department of Anesthesia, Grandview Medical Center, Dayton, Ohio.
A A Pract. 2018 Apr 1;10(7):185-187. doi: 10.1213/XAA.0000000000000744.
Tricuspid valvectomy without replacement is an accepted treatment for drug-resistant endocarditis. The current intravenous drug abuse epidemic is leading to more occurrences of right-sided valvular endocarditis. This suggests that the incidence of tricuspid valvectomies may rise. Our academic hospital has seen 3 such patients in the past year alone. We review the implications of this pathophysiology and discuss the anesthetic management of a 33-year-old woman with previous tricuspid valvectomy presenting for emergent abdominal surgery.
不进行瓣膜置换的三尖瓣切除术是治疗耐药性心内膜炎的一种公认疗法。当前静脉药物滥用的流行导致右侧瓣膜性心内膜炎的发病率增加。这表明三尖瓣切除术的发生率可能会上升。仅在过去一年里，我们的学术医院就接诊了3例这样的患者。我们回顾了这种病理生理学的影响，并讨论了一名曾接受三尖瓣切除术的33岁女性患者行急诊腹部手术时的麻醉管理。
