Xu Hongfei, Davies Henry, Zheng Junnan, Peng Teng, Ni Yiming
Department of Cardiothoracic Surgery, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
J Card Surg. 2019 Apr;34(4):167-169. doi: 10.1111/jocs.14006. Epub 2019 Mar 5.
Functional tricuspid regurgitation (FTR) is the most common of all tricuspid dysfunctions. Ring annuloplasty is an effective treatment strategy for FTR. Currently, the most commonly used suture method for tricuspid ring annuloplasty is the interrupted U-shaped suture method. However, when tricuspid annuli are grossly dilated (septal segments > 60 mm), interrupted sutures are insufficient in avoiding the folding over of the annulus or the tearing of sutures. Therefore, we recommend a new band suture technique; namely, the three-suture junctional continuous suture band annuloplasty technique.
功能性三尖瓣反流(FTR)是所有三尖瓣功能障碍中最常见的。环缩成形术是治疗FTR的有效策略。目前,三尖瓣环缩成形术最常用的缝合方法是间断U形缝合法。然而,当三尖瓣环明显扩张(间隔段>60mm)时,间断缝合不足以避免瓣环折叠或缝线撕裂。因此,我们推荐一种新的带形缝合技术,即三缝线交界连续缝合带环缩成形术。