论文部分内容阅读
二尖瓣疾病患者常常有三尖瓣反流(TR),后者与不良预后有关。风湿性二尖瓣置换术后如果没有同期处理三尖瓣病变,则TR很常见。纠正二尖瓣病变后TR可能不会消失,可在二尖瓣手术后很多年出现。对三尖瓣疾病患者应详细评估三尖瓣,包括测量三尖瓣环直径。在二尖瓣手术同期用成形环进行三尖瓣环成形是纠正或预防TR的最好方法,可改善生存,预防晚期TR和心力衰竭。
Patients with mitral valve disease often have tricuspid regurgitation (TR), which is associated with poor prognosis. TR is common if there is no simultaneous treatment of tricuspid valve disease after rheumatic mitral valve replacement. TR may not disappear after correction of mitral valve disease, but may occur many years after mitral valve surgery. Tricuspid valves should be evaluated in detail for patients with tricuspid valve disease, including measuring the diameter of the tricuspid annulus. Tricuspid annuloplasty using a shaping ring during mitral valve surgery is the best way to correct or prevent TR, improving survival and preventing advanced TR and heart failure.