Matsuno Yutaro, Ikenaga Shigeru
Division of Cardiovascular Surgery, Department of Cardiovascular Surgery, Tokuyama Central Hospital, Yamaguchi, Japan.
SAGE Open Med Case Rep. 2025 Feb 21;13:2050313X251323297. doi: 10.1177/2050313X251323297. eCollection 2025.
We recently performed the mini-loop technique on a 69-year-old woman with idiopathic isolated tricuspid valve prolapse. Although the tricuspid valve leaflets showed no abnormalities, we noted a severely enlarged annulus and posterior leaflet prolapse due to rupture of the posterior papillary muscle. The procedure included four pairs of artificial chordal reconstruction using the loop technique with GORE-TEX® suture CV-4 and the insertion of the 28-mm CE Physio Tricuspid ring. Postoperatively, tricuspid regurgitation was well-controlled below trivial levels. Although the loop technique is typically used in mitral valve plasty, it may also be beneficial for tricuspid valve plasty.
我们最近对一名患有特发性孤立性三尖瓣脱垂的69岁女性实施了迷你环技术。尽管三尖瓣小叶未显示异常，但我们注意到后乳头肌破裂导致瓣环严重扩大和后叶脱垂。该手术包括使用GORE-TEX®缝线CV-4采用环技术进行四对人工腱索重建，并植入28毫米的CE Physio三尖瓣环。术后，三尖瓣反流得到良好控制，低于微量水平。尽管环技术通常用于二尖瓣成形术，但它可能对三尖瓣成形术也有益处。
