Utilization of edge-to-edge valve plastic technique to correct severe tricuspid regurgitation in patients with congenital heart disease
10.3760/cma.j.issn.1001-4497.2010.06.004
- VernacularTitle:"缘对缘"瓣膜成形术在先天性心脏病合并重度三尖瓣关闭不全中的应用
- Author:
Keye LIU
;
Yongqiang LAI
;
Zhiqiang LUO
;
Yi LUO
;
Zhe HAN
;
Fulin LIU
;
Yiwu LIANG
- Publication Type:Journal Article
- Keywords:
Congenital heart disease;
Tricuspid valve regurgitation;
Eedge-to-edge valve plasty;
References
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2010;26(6):371-373
- CountryChina
- Language:Chinese
-
Abstract:
Objective Tricuspid regurgitation is often associated in patients with congenital heart disease. Significant morbidity and mortality are related to tricuspid valve replacement. Tricuspid valve plasty is still a preferred choice. This report deals with our surgical experience in using edge-to-edge valve plasty technique to correct severe tricuspid regurgitation in patients with congenital heart disease. Methods From April 2001 to Mar. 2010, severe tricuspid regurgitation was corrected with a flexible band anuloplasty and edge-to-edge valve plasty technique in 14 patients with congenital heart disease. The age ranged from 7 years to 62 years [average (31.2 ± 16.1 ) years]. Congenital cardiac anomalies include: atrioventricular canal in 5 cases, secundum atrial septal defect in 6 cases, secundum atrial septal defect with mitral valve regurgitation in 2 cases and cor triatriatum in 1 case. Results No hospital death or postoperative morbidity occurred. No or trivial tricuspid regurgitation was present in 11 cases and mild tricuspid regurgitation in 3 cases at discharge. The follow-up ranged from 3 month to 97 months [average (51.6 ± 26.8 ) months]. No tricuspid stenosis was found. No or trivial tricuspid regurgitation was present in 5 cases. Mild tricuspid regurgitation was present in 8 cases, and moderate tricuspid regurgitation in 1 case at the latest followup. Conclusion Edge-to-edge valve plasty is an easy, effective and important procedure to correct severe tricuspid regurgitation in patients with congenital heart disease.
