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Surgical management of traumatic tricuspid insufficiency

机译：创伤性三尖瓣功能不全的手术管理

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摘要

Abstract Background This study reviews our experience with traumatic tricuspid insufficiency (TTI) following blunt chest trauma. Methods From January 2010 to June 2016, 10 patients (nine males, mean age 49.0?±?12.4 years) underwent surgical treatment of TTI following blunt chest trauma. The mean intervals between trauma and diagnosis and between trauma and surgery were 74.1 and 81.8 months, respectively. Preoperatively, all patients exhibited severe tricuspid regurgitation. Five patients underwent tricuspid valve repair, and the remaining patients underwent valve replacement. The mean follow‐up duration (with echocardiography) was 29.7 months. Results There was no early or late death. Seven patients had anterior chordal rupture, two patients had anterior papillary muscle rupture, and one patient had both anterior chordal and anterior leaflet rupture. The median postoperative intensive care unit and hospital stays were 1 and 6 days, respectively. There were no severe postoperative complications. During follow‐up, four patients exhibited trivial to mild tricuspid regurgitation, and the remaining six patients exhibited no regurgitation. Conclusions Surgical treatment of TTI via either valve repair or replacement can be performed with low perioperative morbidity and mortality. Early surgery is recommended for achieving a successful valve repair and preserving right ventricular function.
机译：摘要背景本研究审查了我们在钝性胸部创伤之后创伤三刺心不足（TTI）的经验。方法从2010年1月到2016年6月，10名患者（九个雄性，平均49.0岁以下）接受钝胸部创伤后TTI的手术治疗。创伤与诊断和创伤与手术之间的平均间隔分别为74.1和81.8个月。术前，所有患者均表现出严重的三尖瓣反流。五名患者接受了三尖瓣修复，剩余患者进行阀门置换。平均随访持续时间（具有超声心动图）为29.7个月。结果没有早期或晚期死亡。七名患者有前曲线破裂，两名患者有前乳头肌破裂，一名患者都有前曲线和前叶破裂。中位术后重症监护病房和住院住宿分别为1和6天。没有严重的术后并发症。在随访期间，四名患者表现出差异，对轻度三尖瓣反流性差异，剩余的六名患者没有反流性。结论可以通过瓣膜修复或替代品进行TTI的手术治疗，围手术期发病率和死亡率低。建议早期手术实现成功的阀门修复和保持右心室功能。

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  • 来源
    《Journal of cardiac surgery.》 |2017年第6期|共5页
  • 作者

    Zhang Zhiqi; Yin Kanhua; Dong Lili; Sun Yongxin; Guo Changfa; Lin Yi; Wang Chunsheng;

  • 作者单位

    Department of Cardiac SurgeryShanghai Institute of Cardiovascular Diseases Zhongshan Hospital;

    Department of Cardiac SurgeryShanghai Institute of Cardiovascular Diseases Zhongshan Hospital;

    Department of EchocardiographyShanghai Institute of Cardiovascular Diseases Zhongshan Hospital;

    Department of Cardiac SurgeryShanghai Institute of Cardiovascular Diseases Zhongshan Hospital;

    Department of Cardiac SurgeryShanghai Institute of Cardiovascular Diseases Zhongshan Hospital;

    Department of Cardiac SurgeryShanghai Institute of Cardiovascular Diseases Zhongshan Hospital;

    Department of Cardiac SurgeryShanghai Institute of Cardiovascular Diseases Zhongshan Hospital;

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  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 心脏血管和淋巴系外科学;
  • 关键词

    heart valve surgery; outcomes; trauma; tricuspid valve;

    机译：心瓣手术;结果;创伤;三尖瓣;

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