The tricuspid valve can't ignore _'s general knowledge to repair

The tricuspid valve can't ignore _'s general knowledge to repair
Last week, Mr. Ma almost seventy years old went through the third operation of heart of hers: Recover and leave hospital in postoperative shaping of tricuspid valve. Ma Mr. Zeng because of " Rheumatic heart disease " Having accepted two heart valve operations in the other institute, because severe tricuspid valve can not be closed completely this time, cause the asthma uncomfortable in chest, the whole body edema, lip cyanosis, can not stand the torment of disease, have to accept the third openheart surgery. From the beginning of this year only, we are the second time or the third openheart surgery that a dozen similar patients have carried on them: The tricuspid valve repairs the shaping skill.
Why need to carry on the heart valve operation again? Is it bitter that will you please avoid eating for twice?
We know, the tricuspid valve is the valve locating between right room of heart and right room, made up of three poor a leaf. Tricuspid valve pathological change continue and take place to amalgamate the quiver patient of the room at a pathological change of bicuspid valve and aorta more, cause a ring of tricuspid valve to expand, produce and can not close completely, like a door frame of door expand the back door and can not close tightly fluffily, in fact the medical circle has been thinking all the time the tricuspid valve can not be closed completely after basic pathological change is controlled the valve function be improved, but the clinic for many years follows up a case by regular visits to shows, more serious tricuspid valve can not close completely the manifestation that often have right hearts with depleted function, the curative effect of drug therapy is bad, it will cause lasting pathological change that the tricuspid valve is returned to and flowed, will produce liver, spleen and whole body extravasated blood edema, long-term complication and mortality obviously increases, so need to perform the operation while treating and having illness coming on originally and deal with the tricuspid valve, in order to reduce long-term complication and mortality, how to handle the tricuspid valve well to return to and flow is a problem that can't be ignored that our cardiac surgeon faces, and is being paid attention to by the doctor.
A lot of domestic and foreign scholars have been studying and exploring this problem for a long time, has taken a lot of surgery methods to treat the tricuspid valve and can not close completely, for instance: De Vega shaping skill and Kay shaping skill and a lot of shaping skills of improvement, but because of the defect of skill type itself, the result has not been very ideal all the time after the operation, as loose just like the door frame, simple nail several nails are being strengthened, it is fluffy that time uses the long door frame. Foreign the intersection of report and postoperative early tricuspid valve, severe to close completely the incidence is more than 10- 20% moreover, its long-term result is worse. But because the operation is simple for these methods, with low costs, been using in clinic all the time so far.
Several years ago, the world burnt the surgical expert Casgrove professor of heart valve of the name designed inventing the shaping ring of a kind of three-dimensional tricuspid valve, and is using clinically with the approval of U.S.A. FDA, make shaping skill of the tricuspid valve obtain breakthrough progress. Design laminating the dissection shape of patient's tricuspid valve to the greatest extent in three-dimensional space of this shaping ring, in addition, after the alloy of titanium is dealt with the shaping ring keeps certain elasticity, has reduced the suture tension, have guaranteed more accurate valve is reinvented, thus has reduced postoperative returning to and flowing the incidence greatly.
I went to the division of U.S.A. Cleveland medical center to study this technology from Casgrove professor in 2002, did not sanction introducing and using this shaping ring at home by 2005, we have already implemented shaping skill of the tricuspid valve with this new technology for nearly one hundred patients at present, found finally the operation result was very satisfied with. At present should it surrounds a only one to be operation expenses a bit high in shortcoming, limit some use of patient. We believe, with the constant completion of the medical system of our country, this new technology will benefit the increasingly much heart disease patient.
Ambition surgery of institute of traditional Chinese medicine of Jiangsu Province Chen ZhenQiang
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