Hige K, Suehiro S, Shibata T, Sasaki Y, Kumano H, Hosono M, Kinoshita H
Second Department of Surgery, Osaka City University Medical School, Japan.
Kyobu Geka. 1998 Nov;51(12):1047-50.
A 19-year-old man developed paralysis of the left arm as a result of left brachial plexus injury by a traffic accident. He underwent operation for the brachial plexus paralysis, and then severe heart failure developed postoperatively. Echocardiography revealed severe tricuspid valve regurgitation. Tricuspid valve plasty was performed 14 months after the traffic accident. The anterior leaflet of the tricuspid valve was torn and the chordae attached there were torn as well. The torn anterior leaflet was sutured directly, and the prolapsed portion of this leaflet was collected by transfer of the elongated chordae. Annuloplasty (DeVega technique) was then added. Postoperative echocardiography revealed trivial regurgitation of the tricuspid valve. Only 9 cases of successful repair of traumatic tricuspid regurgitation have been reported in Japan.
一名19岁男性因交通事故导致左臂丛神经损伤而出现左臂麻痹。他接受了臂丛神经麻痹手术，术后出现严重心力衰竭。超声心动图显示严重三尖瓣反流。交通事故14个月后进行了三尖瓣成形术。三尖瓣前叶撕裂，附着于此的腱索也撕裂。将撕裂的前叶直接缝合，并通过延长腱索的转移收集该叶脱垂部分。然后进行瓣环成形术（德维加技术）。术后超声心动图显示三尖瓣微量反流。在日本，仅报道了9例创伤性三尖瓣反流成功修复的病例。
