二尖瓣成形术同期行三尖瓣成形术治疗轻度功能性三尖瓣反流的疗效分析-胸心外科专业论文.docxVIP

英文摘要 二尖瓣成形术同期行三尖瓣成形术治疗轻度功能性三尖瓣反流的疗效分析 The outcomes of tricuspid valve plasty for mild functional tricuspid regurgitation at the time of mitral valve repair Abstract Objective To review and explore the clinical outcomes of tricuspid valve plasty (TVP) for mild functional tricuspid regurgitation at the time of mitral valvuloplasty (MVP). Methods According to undergoing combined TVP or not, 106 patients of mitral regurgitation due to myxomatous degeneration with mild functional tricuspid regurgitation from Jan 2004 to December 2010 in the Department of Cardiothoracic Surgery of Suzhou Municipal Hospital and The Second Hospital Affiliated to Suzhou University were divided into the MVP group and the MVP+TVP group for the observation of cardiopulmonary bypass time, perioperative mortality rate, the degree of mitral regurgitation and the degree of tricuspid regurgitation after operations, and the comparison of the survival and freedom from long-term moderate or severe mitral regurgitation and freedom from long-term moderate or severe tricuspid regurgitation after operations, and the analysis of influence factors of long-term moderate or severe tricuspid regurgitation after operations. Results (1) There was no significant difference on the cardiopulmonary bypass time between two groups, and the cardiopulmonary bypass time was 88.6±14.7, 91.6±16.2, respectively. In the perioperative period there was no death between two groups. Postoperative transthoracic echocardiography of all the survivors in the MVP group indicated that mild mitral regurgitation was observed in 7 patients and trace regurgitation in 20 patients and no regurgitation in 30 patients, and in the MVP+TVP group mild regurgitation was observed in 5 patients and trace regurgitation in 17 patients and no regurgitation in 27 patients, and there was no significant difference on the mitral regurgitation between two groups. However, postoperative transthoracic echocardiography of all the surviv