Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
권호 표지

Repair of Posttraumatic Tricuspid Regurgitation Using Artificial Chordae and an Annuloplasty Ring

인공 건삭과 판막륜 성형술을 이용한 외상 후 삼첨판 부전증의 치료

  • Son, Kuk-Hui (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University) ;
  • Son, Ho-Sung (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University) ;
  • Chung, Jae-Ho (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University) ;
  • Chung, Won-Jae (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University) ;
  • Sun, Kyung (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University) ;
  • Lee, Sung-Ho (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University)
  • 손국희 (고려대학교 의과대학 흉부외과학교실) ;
  • 손호성 (고려대학교 의과대학 흉부외과학교실) ;
  • 정재호 (고려대학교 의과대학 흉부외과학교실) ;
  • 정원재 (고려대학교 의과대학 흉부외과학교실) ;
  • 선경 (고려대학교 의과대학 흉부외과학교실) ;
  • 이성호 (고려대학교 의과대학 흉부외과학교실)
  • Published : 2008.08.05
Download PDF
⟨ Previous Next ⟩

Abstract

A 52-year-old man was taken to the emergency room following a motor vehicle accident. An echocardiogram showed moderate to severe tricuspid regurgitation due to rupture of the anterior chordae. An operation to repair the tarumatic tricuspid regurgitation was recommended; however, the patient refused because he was asymptomatic. Two years later, he developed mild generalized edema and dyspnea. The echocardiogram revealed progressive severe tricuspid regurgitation and annular dilatation. We treated the tricuspid regurgitation successfully using artificial chordae and ring annuloplasty.

52세 남자 환자가 교통사고 후 응급실로 내원하였다. 심초음파 상 전엽건삭 파열에 의해 발생한 중증도 이상의 삼첨판 역류가 보였다. 삼첨판 폐쇄부전에 대한 수술을 권유하였으나 증상이 없어 환자가 거부하였다. 이년 후 환자는 경미한 전신 부종과 호흡곤란으로 다시 내원하였다. 심초음파 상 심한 삼첨판 역류와 판막륜 확장이 보였다. 이에 본원에서는 인공 건삭과 판륜성형링을 이용한 판륜 성형술을 사용하여 외상 후 발생한 삼첨판 폐쇄부전증을 치료하였기에 보고하는 바이다.

Keywords

References

  1. Maisano F, Lorusso R, Sandrelli L, et al. Valve repair for traumatic tricuspid regurgitation. Eur J Cardiothorac Surg 1996;10:867-73. https://doi.org/10.1016/S1010-7940(96)80313-7
  2. Bara C, Zhang R, Haverich A. De Vega annuloplasty for tricuspid valve repair in posttraumatic tricuspid insufficiency-16 years experience. Int J Cardiol 2008;126:e61-2. https://doi.org/10.1016/j.ijcard.2007.01.027
  3. Alfieri O, De Bonis M, Lapenna E, Agricola E, Quarti A, Maisano F. The clover technique as a novel approach for correction of post-traumatic tricuspid regurgitation. J Thorac Cardiovasc Surg 2003;126:75-9. https://doi.org/10.1016/S0022-5223(03)00204-6
  4. Tatebe S, Uehara A, Shinonaga M, Kuraoka S. Posttraumatic tricuspid insufficiency successfully repaired by conventional technique. J Card Surg 2005;20:356-7. https://doi.org/10.1111/j.1540-8191.2005.200491.x
  5. Moainie SL, Guy TS, Plappert T, Gorman III JH, Gorman RC. Correction of traumatic tricuspid regurgitation using the double orifice technique. Ann Thorac Surg 2002;73:963-5. https://doi.org/10.1016/S0003-4975(01)03111-3
  6. Sugita T, Watarida S, Katsuyama K, Nakajima Y, Yamamoto R, Mori A. Valve repair with chordal replacement for traumatic tricuspid regurgitation. J Heart Valve Dis 1997;6: 651-2.
  7. Doi A, Takahara Y, Mogi K, Hatakeyama M. Repair of traumatic tricuspid regurgitation by bicuspidization. Gen Thorac Cardiovasc Surg 2007;55:499-501. https://doi.org/10.1007/s11748-007-0171-1