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二瓣化 De Vega 治疗功能性三尖瓣反流:“De-Kay 修复术”。

Bicuspidized De Vega for Functional Tricuspid Valve Regurgitation: "De-Kay Repair".

机构信息

Department of Cardiovascular Science, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.

Department of Cardiovascular Science, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.

出版信息

Ann Thorac Surg. 2022 Feb;113(2):e153-e154. doi: 10.1016/j.athoracsur.2021.04.038. Epub 2021 Apr 27.

DOI:10.1016/j.athoracsur.2021.04.038
PMID:33930355
Abstract

Functional tricuspid valve regurgitation in the contest of mitral valve disease is a highly prevalent disease. We describe a ringless technique that combines restrictive annuloplasty (De Vega) with posterior tricuspid leaflet obliteration (Kay) used for patients with less-than-severe functional tricuspid valve regurgitation undergoing mitral valve surgery. The technique has been in use at our center since 2012, showing promising long-term echocardiographic results, with stable reduction of the annulus size and stable reduction of the degree of regurgitation.

摘要

在二尖瓣疾病的背景下,功能性三尖瓣反流是一种高发疾病。我们描述了一种无环技术,该技术将限制型瓣环成形术(De Vega)与三尖瓣后叶阻塞术(Kay)相结合,用于接受二尖瓣手术的功能性三尖瓣反流程度较轻的患者。自 2012 年以来,该技术一直在我们中心使用,显示出有前途的长期超声心动图结果,环缩率稳定,反流程度稳定降低。

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Bicuspidized De Vega for Functional Tricuspid Valve Regurgitation: "De-Kay Repair".二瓣化 De Vega 治疗功能性三尖瓣反流:“De-Kay 修复术”。
Ann Thorac Surg. 2022 Feb;113(2):e153-e154. doi: 10.1016/j.athoracsur.2021.04.038. Epub 2021 Apr 27.
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Comparison of De-Kay repair versus De Vega suture for functional tricuspid regurgitation: a preliminary experience.经改良的 Kay 修复术与 De Vega 缝线修复术治疗功能性三尖瓣反流的对比:初步经验。
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