Therapeutic measure _'s treatment of tricuspid stenosis

Therapeutic measure _'s treatment of tricuspid stenosis
[Diagnosis]
The simple tricuspid stenosis case is still easy to diagnose, but the persons who are uniting valve pathological change, tricuspid stenosis is often easy to be ignored, should maintain vigilance. Carry on the right heart conduit inspection if necessary. Specific suspicious case, in the operation, handle and mean ascertaining in the heart the atrium dextrum can be diagnosed clearly.
[Treat the measure]
Treatment of tricuspid stenosis, in principle the same as mitral stenosis, but person who close expand, separate skill to be apt to tear valve, lead to the fact, shut off the wholly seriously, have not advocated employing yet at present.
(1) Cut the skill and suitable for merging, well organized case of valve of simple juncture in the juncture of tricuspid valve. Cut-out atrium dextrum,down by knife petal before not cutting direct-view respectively and separate on petal and after petal and integration juncture to separate petal, disengage it into two each leaves. Before it cut petal with after there merge being easy to be produce is juncture of petal, so should be cautious.
(2) The tricuspid valve replaces the skill and suitable for the valve and damages the deformity or shuts to the persons who can not be closed completely of cake seriously. The operation is cut-outed by the atrium dextrum. Excise valve, put suture and put artificial step of valve into basically until bicuspid valve replace skill to be same. But should notice: A ring structure of tricuspid valve is not tough and tensile enough, it needs to take the spacer so as not to tear to wear the cotton-padded mattress type suture which sews a ring; Can't cross a ring through the position suture of a leaf, so as not to damage and conduct bunch; Seeing that the apt to take place postoperative thrombus of tricuspid valve, the pressure that and the valve bears and has smaller bicuspid valve position than the aorta one, it is comparatively suitable to replace the artificial living beings one.
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