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Totally endoscopic three-dimensional tricuspid valve repair in an adult with Ebstein's anomaly.

Totally endoscopic three-dimensional tricuspid valve repair in an adult with Ebstein's anomaly.

期刊: Multimedia manual of cardiothoracic surgery : MMCTS 日期: 2026-07-03 PMID: 42396884 DOI: 10.1510/mmcts.2026.029 浏览: 23
作者: Kitamura H, Tamaki M, Fukumoto Y, Aichi C
H, K., M, T., Y, F., & C, A. (2026). Totally endoscopic three-dimensional tricuspid valve repair in an adult with Ebstein's anomaly.. Multimedia manual of cardiothoracic surgery : MMCTS. https://doi.org/10.1510/mmcts.2026.029
H K, M T, Y F, C A. Totally endoscopic three-dimensional tricuspid valve repair in an adult with Ebstein's anomaly.. Multimedia manual of cardiothoracic surgery : MMCTS. 2026; doi: 10.1510/mmcts.2026.029
H K, M T, Y F, et al. Totally endoscopic three-dimensional tricuspid valve repair in an adult with Ebstein's anomaly.[J]. Multimedia manual of cardiothoracic surgery : MMCTS. 2026. DOI: 10.1510/mmcts.2026.029.
@article{h2026,
  author = {Kitamura H and Tamaki M and Fukumoto Y and Aichi C},
  title = {Totally endoscopic three-dimensional tricuspid valve repair in an adult with Ebstein's anomaly.},
  journal = {Multimedia manual of cardiothoracic surgery : MMCTS},
  year = {2026},
  doi = {10.1510/mmcts.2026.029},
  note = {PMID: 42396884},
}
TY  - JOUR
AU  - Kitamura H
AU  - Tamaki M
AU  - Fukumoto Y
AU  - Aichi C
TI  - Totally endoscopic three-dimensional tricuspid valve repair in an adult with Ebstein's anomaly.
T2  - Multimedia manual of cardiothoracic surgery : MMCTS
PY  - 2026
DO  - 10.1510/mmcts.2026.029
AN  - PMID:42396884
ER  - 

摘要

We report the case of a 52-year-old woman with severe tricuspid regurgitation due to Ebstein's anomaly. She underwent surgery through a 2.5 cm right minithoracotomy incision under three-dimensional endoscopic visualization. After identification of the atrialized right ventricle and the displaced attachments of the septal leaflet and part of the posterior leaflet within the atrialized segment, plication of the atrialized portion was performed to exclude it. The displaced leaflet attachment level within the atrialized right ventricle was regarded as the functional tricuspid annulus and served as the site for annuloplasty. Tricuspid annuloplasty was then performed using a semi-rigid partial ring, and leaflet coaptation was further improved by an edge-to-edge valvuloplasty. Postoperative echocardiography showed trace tricuspid regurgitation, and computed tomography demonstrated resolution of the atrialized right ventricle. She was discharged home in good condition.

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