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本文报告13例继发孔型房间隔缺损,在修补缺损的同时作了二尖瓣关闭不全的手术治疗,其中2例伴有严重的三尖瓣关闭不全而需同时作修补。患者女性9例、男性4例,年龄10～63岁。13例均有二尖瓣环明显扩大,其中1例同时伴有腱索断裂无法修补而用8号Kay-Shiley碟瓣换置,其余12例均作瓣膜修补,采用Kay等报道的二尖瓣瓣环成形术,即在二尖瓣后内及前外交界区各以2号丝线作1～2个间断“8”字缝合,结扎后约可缩小大瓣部瓣环的65％,留下的二尖瓣口可通过2
This article reports 13 cases of secondary atrial septal defect, repair defects at the same time as mitral regurgitation surgery, of which 2 cases with severe tricuspid regurgitation and at the same time for repair. 9 cases of female patients, 4 males, aged 10 to 63 years. Mitral annulus was significantly enlarged in 13 cases. One of them was replaced by Kay-Shiley disc with No-repair of rupture of tendon and the other 12 cases were treated by valve repair. The mitral valve was reported by Kay et al. Annular annuloplasty, that is, in the post-mitral and anteroseptal frontier and the outer boundary of the No. 2 silk for 1 to 2 intermittent “8” suture, ligation can be reduced after about 65% of the petal annulus, leaving The mitral valve orifice can pass 2