Mesnildrey P, Laborde F, Bical O, Lecompte Y, Leca F, Hazan E, Neveux J Y
Sem Hop. 1983 May 26;59(21):1597-600.
14 patients underwent tricuspid surgery after radical surgery of tetralogy of Fallot using cardiopulmonary bypass. This series represents 11.5% of all patients with tetralogy of Fallot who were operated on during the same period (1970-1982). Two different pictures were seen: tricuspid pathology may be coincident with tetralogy of Fallot, with surgical repair being done during the same procedure; it may be discovered later on, resulting from trauma of the tricuspid valves, an overlooked valvular malformation, or a residual or recurrent ventricular septal defect. As tolerance is poor because of postoperative right ventricular insufficiency, tricuspid insufficiency must be promptly diagnosed and cured, either during radical surgery of the tetralogy of Fallot or as soon as it becomes clinically patent in the postoperative course.
14例法洛四联症根治术后患者在体外循环下行三尖瓣手术。该系列患者占同期（1970 - 1982年）接受手术治疗的所有法洛四联症患者的11.5%。观察到两种不同情况：三尖瓣病变可能与法洛四联症同时存在，在同一手术过程中进行手术修复；也可能在后期发现，这是由于三尖瓣创伤、被忽视的瓣膜畸形、残余或复发性室间隔缺损所致。由于术后右心室功能不全导致耐受性差，必须在法洛四联症根治手术期间或术后临床上一旦发现三尖瓣关闭不全，就迅速进行诊断和治疗。
