Wahlers T, Albes J, Pethig K, Oppelt P, Fieguth H G, Jurmann M, Hausen B, Demertzis S, Borst H G
Department of Cardiothoracic Surgery, Hannover Medical School, Germany.
Transpl Int. 1996;9 Suppl 1:S247-8. doi: 10.1007/978-3-662-00818-8_64.
Tricuspid regurgitation following heart transplantation can become a severe problem in a subset of patients, where medical therapy fails. Operative findings are described and results of subsequent results with surgical intervention including repair and replacement are analysed. Although follow-up is short, tricuspid replacement seems superior to reconstruction following heart transplantation. Best results are obtained, if replacement is performed, before right ventricular function deteriorates.
心脏移植后三尖瓣反流在一部分患者中可能会成为严重问题，药物治疗对此无效。本文描述了手术所见，并分析了包括修复和置换在内的手术干预的后续结果。尽管随访时间较短，但三尖瓣置换在心脏移植后似乎优于重建术。如果在右心室功能恶化之前进行置换，效果最佳。
