Division of Cardiovascular Diseases, Department of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Mexican Institution of Social Security, UMAE No. 1, Merida, Yucatan, Mexico.
J Invasive Cardiol. 2024 Jan;36(1). doi: 10.25270/jic/23.00205.
Congenital tricuspid valve stenosis is extremely rare. We describe 2 cases of patients with adult congenital heart disease with hypoplastic tricuspid valve annulus who were symptomatic from annular- and leaflet-level tricuspid stenosis. The patients underwent transcatheter balloon valvuloplasty with good clinical outcomes. An extensive literature review and analysis of various procedural strategies suggests that percutaneous balloon valvuloplasty may be a reasonable therapeutic choice as a first-line therapy or when open surgical repair is associated with prohibitively high mortality. This procedure can be performed either as a destination therapy or as a bridge to valve replacement.
先天性三尖瓣狭窄极为罕见。我们描述了 2 例患有先天性心脏病且三尖瓣瓣环发育不良的成年患者，他们均存在瓣环和瓣叶水平的三尖瓣狭窄的症状。患者接受了经导管球囊瓣膜成形术，临床效果良好。广泛的文献回顾和对各种手术策略的分析表明，经皮球囊瓣膜成形术可能是一种合理的治疗选择，可作为一线治疗方法，或者在开放性手术修复与极高死亡率相关时使用。该手术可以作为终末期治疗或瓣膜置换的桥梁。
