Tricuspid valve replace skill and fruit _'s treatment in early days

Tricuspid valve replace skill and fruit _'s treatment in early days
The tricuspid valve replaces the skill (TVR) Operation adaptation card and it is artificial for choice of valve. March to will it be June 2004, 1997 of studying etc., implement 42 of TVR together, 20 there is history of openheart surgery among them. The operation adapts to the card: Natural valve damage is unable to repair (34) ; Going on tricuspid valve pathological change (2) ; It still influences the heart function (6) seriously that the residual valve function is not complete after repairing . While amalgamating the following situations, choose TVR actively: Rise in the blood vessel resistance of lung and severely; There are residual left heart complete functions after the operation; There is shaping operation history of tricuspid valve. The artificial heart valve replaces the skill to include: Simple the intersection of TVR and 30, aorta petal and bicuspid valve add 8 of TVR, bicuspid valve add 3 of TVR, aorta petal add 1 of TVR. Location manpower one of tricuspid valve uses a petal of 28 for a pair of leaf type machinery, living beings are a petal of 14. The openheart surgery of other amalgamation includes: Inborn heart malformations repair 10, manpower petal leak mend, mucus week tumour excise and coronary artery put up a bridge one respectively. The whole group's operation case fatality rate 17% of the result (7/42) ,Complication incidence 31% of operation (13/42) . Postoperative heart function (NYHA grades) : Grade of 21, 10 cases of 2 grade, grade is one respectively. 2 die in postoperative later period. The pathological change intensity that it is obvious in the tricuspid valve is serious, repair and hold not big, especially while failing to totally rescue with lung vascular pathological change, bad, left heart pathological change of left heart function, TVR in conformity with doing actively; The manpower one should choose one pair of leaf types and machinery one or living beings one, especially the latter.
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