三尖瓣关闭不全

腱索、乳头肌完好的创伤性三尖瓣关闭不全1例报告

Traumatic tricuspid insufficiency with intact chordae and papillary muscles : a case report

创伤性三尖瓣关闭不全行机械瓣置换术2例

Mechanical Valve Replacements for Traumatic Tricuspid Insufficiency

应用Tei指数评价三尖瓣关闭不全时右心功能改变及其意义

Tei index used to assess right ventricular function in tricuspid insufficiency

作者认为DeVega环缩成形术对处理三尖瓣关闭不全效果良好。

The good results of DeVega tricuspid annuloplasty were obtained .

目的报告二尖瓣置换（MVR）术后远期三尖瓣关闭不全（TR）外科治疗的结果及作用。

Objective : To report the results and role of surgical treatment of functional tricuspid regurgitation ( TR ) late after mitral valve replacement ( MVR ) .

结果心脏增大，左室容量增加，心功能减低，二、三尖瓣关闭不全，肺动脉高压等发生率及严重程度DCM组明显重于ICM组（P<0.001）。

Results The incidence and severe degrees of cardiac dilatation , left ventricular volume expansion , cardiac insufficiency , mitral / tricuspid incompetence , pulmonary hypertension etc were apparently higher in DCM than in ICM ( P < 0.001 ) .

目的：探讨继发性三尖瓣关闭不全的外科治疗方法。

Objective To discuss the surgical treatment method of secondary tricuspid regurgitation .

风湿性心脏瓣膜病相对性三尖瓣关闭不全程度诊断的探讨

On diagnosing the degree of tricuspid insufficiency secondary to rheumatic heart valvular disease

心脏瓣膜替换术后远期三尖瓣关闭不全的治疗体会

Experience of treatment of late functional tricuspid regurgitation after left cardiac valve replacement

1例出现轻度三尖瓣关闭不全，不影响心功能，未予治疗。

Tricuspid valve slightly incompetence occurred in 1 patient .

方法回顾分析2000年1月～2003年9月收治的10例外伤性三尖瓣关闭不全外科手术治疗的临床病例。

Methods : Analysis of patients with traumatic tricuspid insufficiency retrospectively from Jan.2000 to Sept.

超声技术对功能性三尖瓣关闭不全患者手术前、后右心室功能的评估

The Assessment of Right Ventricular Function of Patients with Functional Tricuspid Insufficiency Underwent TVP

风湿性二尖瓣病变患者三尖瓣关闭不全的超声评价及临床意义

Evaluation and clinical significance on echocardiography of tricuspid insufficiency in patients with rheumatic mitral disease

术前12例重度三尖瓣关闭不全患者，术后8例三尖瓣返流消失，4例三尖瓣轻度返流；

Preoperative examinations revealed tricuspid incompetence ( 12 patients were severe , and 8 moderate ) .

结论三尖瓣关闭不全是右心室功能不全及肺血管明显病变的结果。

Conclusion TI resulted mainly from insufficient function of the right ventricle and marked pathological changes of the pulmonary blood vessels .

双氧水心脏声学造影在三尖瓣关闭不全诊断上的应用心肌声学造影用心脏程控触发装置的研制

Contrast Echocardiography with Hydrogen Peroxide in Diagnosis of Tricuspid Regurgitation Development of programming cardiac trigger apparatus and its application to myocardial contrast echocardiography

方法：总结1998年1月至2003年6月收治的128例中、重度继发性三尖瓣关闭不全的临床资料。

Method Summarize the clinical data of 128 cases of moderate and severe secondary tricuspid regurgitation ( from Jan 1998 to Jun 2003 ) .

术后随访4个月～6年，平均随访3.4±1.3年，无预激综合征复发，2例有轻度三尖瓣关闭不全。

Follow-up ranged from 4 months to 6 years ( mean 3.4 ± 1.3 years ) . There was mild tricuspid insufficiency in 2 patients .

合并右室流出道狭窄9例，三尖瓣关闭不全11例（其中中度以上关闭不全4例），合并细菌性心内膜炎7例。

Concomitant cardiac anomaly , included right ventricle outflow tract constriction in 9 patients , Tricuspid regurgitation in 11 patients , bacterial endocarditis in 7 patients .

轻度肺动脉瓣和三尖瓣关闭不全分别为9例（3.1%）和13例（4.5%）。

The incidence of mild pulmonary insufficiency and tricuspid insufficiency was 3 1 % ( 9 cases ) and 4 5 % ( 13 cases ) respectively .

成形软环应用于三尖瓣关闭不全修复的疗效评价心脏超音波证实三尖瓣腱索断裂及明显的三尖瓣逆流。

Evaluation of Tricuspid Valve Repair With Flexible Ring Annuloplasty in Patients With Acquired Valvular Heart Disease Echocardiography demonstrated tricuspid chordae tendinae rupture with remarkable tricuspid regurgitation .

结论左心瓣膜替换术后出现远期三尖瓣关闭不全可能与手术时机晚、手术效果不满意或右心衰进展有关。

Conclusion The pathophysiology of tricuspid regurgitation is associated with delayed left heart operation , implement of tricuspid repair in the first operation or progressive right ventricular failure .

结论外伤性三尖瓣关闭不全的外科治疗效果良好，一经确诊为重度反流应尽早手术治疗，以增加三尖瓣成形的可能性。

Conclusion The outcome of surgical treatment of traumatic tricuspid valve insufficiency is good . Surgical intervention should be done as early as possible once diagnosis was made to increase the feasibility of tricuspid valve repair .

三尖瓣关闭不全3例，除1例返流小保守治疗外，余2例分别接受了三尖瓣修复术和换瓣术。

There were 3 patients with traumatic tricuspid insufficiency , of whom one was treated conservatively because of small regurgitation , two were treated surgically ( tricuspid valve repair in 1 patient and replacement in another ) .

结论瓣膜病变患者右心室功能不全与三尖瓣关闭不全、左室扩大、肺动脉高压、右心室肥厚等因素有关，瓣膜置换术后右心室功能可明显改善。

Conclusion Right ventricular dysfunction in patients with valvular disease is related to pulmonary hypertension , tricuspid regurgitation , right ventricular hypertrophy , and increase of left ventricular dimension . Right ventricular function is improved after valvular replacement .

各瓣膜病发病率：单纯主动脉瓣关闭不全2.5%，单纯二尖瓣关闭不全1.5%，单纯二尖瓣狭窄0.1%，单纯三尖瓣关闭不全0.1%，二尖瓣脱垂0.2%，多瓣膜病1.0%。

The incidence of pure aortic incompetence was 2.5 % . pure mitral incompetence 1.5 % , pure mitral stenosis 0 . 1 % . pure tricuspid incompetence 0.1 % , mitral valve prolapse 0.2 % , multivalvular heart disease 1.0 % .

目的分析风湿性心脏病患者三尖瓣关闭不全与右心室功能及肺血管病变程度的联系，探讨手术矫治三尖瓣关闭不全的合理指征。

Objective To investigate the relationship between tricuspid insufficiency ( TI ) and the function of the right ventricle , degree of pulmonary vascular pathological change in patients with rheumatic heart disease so as to provide the indication of operation for treating TI .

结果成形组复发三尖瓣重度关闭不全56例，复发率77.5%，三尖瓣置换组效果满意。

Results In plasty group , recurrent rheumatism tricuspid severe regurgitation was found in 56 cases with the recurrent rate being 77.5 % .

目的探讨左心瓣膜置换术后三尖瓣重度关闭不全的机理及外科治疗选择及效果。

Objective To explore the possible pathogenesis , the election and the effect of surgical treatment of severe tricuspid regurgitation ( TR ) after left cardiac valve replacement ( LCVR ) .

结论二尖瓣置换术后远期三尖瓣功能性关闭不全与三尖瓣环扩大、右心功能损害和严重肺动脉高压有关，三尖瓣环扩大是其重要的原因。

Conclusion Tricuspid annular dilatation , right heart impairment and severe pulmonary hypertension are responsible for the development of late tricuspid regurgitation after mitral valve replacement .