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(bào)道瓣膜構(gòu)造的問(wèn)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(nèi)靜脈/鎖骨下靜脈血栓開放壓力相對(duì)低標(biāo)記物壓縮及安裝植入RetrogradeflowForwardflowRetrogradeflowForwardflow四維成像結(jié)論設(shè)計(jì)方面的問(wèn)題封閉，固定和瓣環(huán)功能的分別處理對(duì)于靜脈系統(tǒng)和右心非常關(guān)鍵在不同的靜脈直徑條件下瓣膜的閉合情況高順應(yīng)性系統(tǒng)生理學(xué)的優(yōu)勢(shì)還不確定，但是在隨訪中明確沒(méi)有發(fā)現(xiàn)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