三尖瓣下移畸形外科治疗42例

目的总结42例三尖瓣下移畸形的外科治疗及其疗效。方法 2003年1月～2010年12月我院对42例三尖瓣下移畸形患者施行了手术矫治,其中行三尖瓣成形术34例（包括6例加双腔腔肺分流术）,三尖瓣置换术8例;矫治合并畸形：房间隔缺损或卵圆孔未闭30例,室间隔缺损4例。结果全组无死亡病例,无Ⅱ～Ⅲ度房室传导阻滞。术后B超复查提示34例成形术患者有6例存在轻-中度返流。1例患者2年后因三尖瓣重度返流行换瓣术。术后患者心功能均恢复至Ⅰ～Ⅱ级。结论应根据三尖瓣病变情况选用最佳的矫治方法,并同期矫治合并心内畸形。

Surgical treatment on 42 cases of ebstein malformation

Objective To summarize the surgical treatment and results on 42 cases of ebstein malformation.Methods 42 cases of ebstein malformation underwent surgical were corrected from January 2003 to December 2010 in our hospital.Tricuspid valvuloplasty were performed in 34 cases(including 6 cases of dual-chamber cavopulmonary shunt plus),tricuspid valve replacement were performed in 8 cases;malformations were corrected: atrial septal defect or patent foramen ovale were 30 cases,ventricular septal defect were 4 cases.Results There were no deaths and no Ⅱ-Ⅲ degree atrioventricular block.Post-operative review of B-mode ultrasound examination prompted that 6 cases presented with mild-moderate regurgitation in 34 cases of angioplasty patients.1 case was underwent valve replacement surgery due to severe tricuspid regurgitation after two years.Cardiac function restored to Ⅰ-Ⅱ level after surgery.Conclusion It should chose the best treatment methods according to the tricuspid valve disease,while do the treatment with heart malformations.