三尖瓣再次手术14例

The results of surgical treatment of 14 patients underwent repeated tricuspid valve operations

目的总结三尖瓣再次手术的治疗效果及经验。方法2002年至2006年，收治14例三尖瓣再次手术病人，其中三尖瓣成形术后再次出现关闭不全12例，三尖瓣置换术后人工瓣膜功能障碍2例。结果再次实施三尖瓣成形术5例，三尖瓣置换术9例。死亡2例，余者治愈出院。10例随访2～40个月，1例心功能Ⅲ级，余者均为Ⅰ～Ⅱ级。结论再次三尖瓣手术治疗效果确切，手术死亡与手术方式的选择以及围术期心、肾功能衰竭有关。

Objective To evaluate the results and surgical treatment of the repeated tricuspid valve operations. Methods The hospital records was reviewed for 14 patients who underwent repeated tricuspid valve operations between 2003 and 2006, including 12 patients with tricuspid regurgitation received first tricuspid valve repair and 2 patients, with prosthetic valve dysfunction. Results Reoperafions of tricuspid valve included 5 tricuspid valve repair and 9 tricuspid valve replacement. There were two postoperative deaths. Post-operative heart function （NYHA） was improved significantly, 1 case in Ⅲ and 9 in Ⅰ- Ⅱ. Ten survivors were followed up for 2 - 40 months. Conclusion Tricuspid valve reoperations may be performed with acceptable operative mortality. Perioperative death was associated with surgical methods and heart or renal function failure.