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创伤性三尖瓣反流:一例具有挑战性的病例报告。

Traumatic tricuspid valve regurgitation: A challenging case report.

作者信息

Caruso Vincenzo, Shah Usman, Bhusari Sudhir

机构信息

Department of Cardiac Surgery, St Thomas's Hospital, London, UK.

Department of Cardiothoracic Surgery, The Essex Cardiothoracic Centre, Essex, UK.

出版信息

J Card Surg. 2020 Apr;35(4):950-951. doi: 10.1111/jocs.14482. Epub 2020 Feb 28.

Abstract

Traumatic tricuspid regurgitation (TR) is a rare cause of acute right ventricular dysfunction. The surgical technique could be complex and the reparative gesture has a lower success rate when compared with functional TR. We present the case of a 26-year-old male patient with traumatic TR who underwent tricuspid valve repair, with an initial satisfactory result. Later, the onset of acute severe residual TR was observed and the valve needed to be replaced. Surgery is the mainstay of treatment for traumatic TR, either in the form of repair or replacement. It requires an early diagnosis and concomitant treatment of injuries.

摘要

创伤性三尖瓣反流(TR)是急性右心室功能障碍的罕见原因。手术技术可能很复杂,与功能性TR相比,修复手术的成功率较低。我们报告一例26岁男性创伤性TR患者,该患者接受了三尖瓣修复术,初期结果令人满意。后来,观察到急性严重残余TR的发生,需要更换瓣膜。手术是创伤性TR治疗的主要手段,可采用修复或置换的形式。它需要早期诊断并同时治疗损伤。

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