atrial ventricular fold

Tricuspid valvular (Ebstein) malformation. Treatment of diseases: tricuspid valvular deformity Indication Tricuspid valvular (Ebstein) malformation. Preoperative preparation 1. Eliminate all infected lesions. 2. Correct malnutrition, anemia, and liver, kidney, and other organ dysfunction. 3. Correct heart failure or put the patient in the best possible condition. 4. Stop the digitalis and diuretics 48 hours before surgery. 5. Use an ordinary diet 1 week before surgery to adjust the electrolyte balance. If the patient takes long-term diuretics, the oral potassium chloride should be increased in the first week before surgery to overcome the deficiency of potassium in the body. 6. Start antibiotics with antibiotics on the 3rd day before surgery. Give a dose of antibiotics when you use the medicine before surgery. 7. In severe cases, glucose, insulin and potassium chloride solution (gik) were intravenously administered 1 week before surgery to protect the myocardium. 8. Psychotherapy should be performed on patients before surgery to eliminate concerns and enhance cooperation between doctors and patients. Let the patient understand the various situations that may occur during the operation to facilitate the patient's active cooperation. Surgical procedure 1. The sternal midline incision. 2. Cut the happy package and verify the diagnosis. 3. Establish extracorporeal circulation. 4. Parallel to the right interventricular septum incision, there should be a partial atrial resection of the right atrium. 5. Patients with atrial septal defect or patent foramen ovale should be repaired first. 6. The ventricular ventricular fold: use a double-headed needle with a spacer to move from the posterior sacral lower point to the lower part of the myocardium, and sneak into the ventricular endocardium, to the tricuspid annulus, through the pad. The pieces were so as to be sutured in parallel with 3-4 sutures with a septum, and the ligation was pushed down. 7. The tricuspid valve is Deeveaga angioplasty. complication Ventricular ventricular folding: using a double-headed needle with a spacer to move from the posterior sacral lower point to the lower part of the myocardium, and sneak into the subventricular membrane, to the tricuspid annulus, through the shims; So as to suture 3-4 sutures with a padded suture, push down the ligation.