Conţinutul numărului revistei |
Articolul precedent |
Articolul urmator |
796 6 |
Ultima descărcare din IBN: 2024-01-15 15:17 |
SM ISO690:2012 MOSCALU, Vitalie. Tratamentul chirurgical în valvulopatiile tricuspidiene dobândite. In: Curierul Medical, 2014, nr. 3(57), pp. 59-63. ISSN 1875-0666. |
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Curierul Medical | ||||||
Numărul 3(57) / 2014 / ISSN 1875-0666 | ||||||
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Pag. 59-63 | ||||||
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Background: To establish risk factors that determines recurrence after reconstructive correction in functional tricuspid insufficiency (FTI). Material and method: During last 20 years, 1754 patient needed tricuspid correction in acquired valve disease and functional lesion prevailed in 1546(88.1%) of them. Diverse tricuspid annuloplasty techniques were performed: De Vega – 642 cases, Cabrol – 587, M. Antunes – 56, Boyd – 16, Carpentier ring – 245. Additional procedures were applied to 354 cases as: cleft defect suture – 276, cusps surface enlargement with autologous pericardium – 22, Alfiery procedure – 12, vegetation resection – 9, neocordage – 4, papillary muscle approximation – 1. The effectiveness of reconstructive surgery was measured with the help of Echocardiography. Results: Hospital lethality constituted 2.8% (43 cases). Residual regurgitations of I-II grade were found at 231 (14.9%) patients. Carpantier ring annuloplasty assured a durable correction, except patients with considerable cusps retraction. Tricuspid insufficiency recurrence through semicircular suture dehiscence constituted 12.1% (78 cases) after De Vega annuloplasty and 1.5% (9 cases) after Cabrol technique, 52 patients needed reoperation. Conclusion: Stability results after FTI correction depend on preoperative valve complex, performed surgical technique, hemodynamic evolution within a long period. |
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Cuvinte-cheie tricuspid valve, cardiac surgery, insufficiency, hemodynamics |
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