少見的瓣膜治療三尖瓣成形

少見的瓣膜治療:三尖瓣成形RoyKGreenberg,MD特別聲明研究得到的支持CookInc,BostonScientific,,Cordis,Vascutek,TerareconConsulting,IntellectualProperty,TravelExpensesCookInc病例報道瓣膜構造的問題靜脈系統(tǒng)的直徑不是固定的肝靜脈和下腔靜脈瓣之間距離很短左頸內靜脈/鎖骨下靜脈血栓開放壓力相對低標記物壓縮及安裝植入RetrogradeflowForwardflowRetrogradeflowForwardflow四維成像結論設計方面的問題封閉，固定和瓣環(huán)功能的分別處理對于靜脈系統(tǒng)和右心非常關鍵在不同的靜脈直徑條件下瓣膜的閉合情況高順應性系統(tǒng)生理學的優(yōu)勢還不確定，但是在隨訪中明確沒有發(fā)現有逆向血流LessCommonValvularInterventions:TricuspidValveRepairRoyKGreenberg,MDDisclosureResearchsupportCookInc,BostonScientific,,Cordis,Vascutek,TerareconConsulting,IntellectualProperty,TravelExpensesCookIncPatientPresentation65yofemalewithintractableascitesPriorleftmastectomy,radiationtherapy,LUElymphedema4+tricuspidregurgitation,constrictivepericarditis(s/pthoracoscopywithsubtotalpericardectomy)PreoperativeEchocardiographyValveConstructIssuesNon-fixeddiameterofthevenoussystemShortdistancebetweenhepaticveinsandeustacianvalveThrombosisoftheleftinternaljugular/subclavianveinsComparitivelylowopeningpressuresIntraoperativeMountingToScaffoldStentgraftCreationofInsufficiencyMarkersPackagingandLoadingImplantationRetrogradeflowForwardflowRetrogradeflowForwardflowFourDimensionalImagingConclusionsDesignissuesSeparationofsealing,fixation,andannularfunctionCriticalforthevenoussystemandrightheartValvularcompetenceinthesettingofvariablevenousdiameterHighcompliancesystemUnsureof