{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:02:03Z","timestamp":1785427323094,"version":"3.56.0"},"reference-count":14,"publisher":"Akademiai Kiado Zrt.","issue":"32","content-domain":{"domain":["www.akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2025,8,10]]},"abstract":"<jats:p>A s\u00falyos, t\u00fcnetes tricuspidalis regurgitatio progressz\u00edv, rossz progn\u00f3zis\u00fa\n                    betegs\u00e9g, amelynek kezel\u00e9s\u00e9re lehet\u0151s\u00e9geink korl\u00e1tozottak. Megold\u00e1st jelenthet\n                    palliat\u00edv jelleggel a bicavalis heterotop billenty\u0171implant\u00e1ci\u00f3 (TricValve),\n                    amelynek sor\u00e1n sztentelt bioprot\u00e9ziseket \u00fcltet\u00fcnk be vena cava superior \u00e9s\n                    inferior poz\u00edci\u00f3kba az eredeti tricuspidalis billenty\u0171 \u00e9rint\u00e9se n\u00e9lk\u00fcl. Az\n                    int\u00e9zet\u00fcnkben v\u00e9gzett, tudom\u00e1sunk szerint els\u0151 hazai beavatkoz\u00e1s tapasztalatait\n                    szeretn\u00e9nk bemutatni. A 74 \u00e9ves, s\u00falyos szekunder tricuspidalis regurgitatio \u00e9s\n                    k\u00f6vetkezm\u00e9nyes jobbsz\u00edvf\u00e9l-el\u00e9gtelens\u00e9g miatt t\u00f6bbsz\u00f6r hospitaliz\u00e1lt n\u0151beteget\n                    jelent\u0151s d\u00f3zis\u00fa diuretikus kezel\u00e9s ellen\u00e9re is jelentkez\u0151 \u00fajabb dekompenz\u00e1ci\u00f3s\n                    epiz\u00f3d miatt vett\u00fck fel oszt\u00e1lyunkra NYHA IV-es funkcion\u00e1lis st\u00e1dium \u00e9s jelent\u0151s\n                    folyad\u00e9kretenci\u00f3 mellett. Echokardiogr\u00e1fi\u00e1n j\u00f3 systol\u00e9s funkci\u00f3j\u00fa bal kamra \u00e9s\n                    volumenterhelt jobb kamra volt l\u00e1that\u00f3, valamint a tricuspidalis billenty\u0171\n                    inkomplett koapt\u00e1ci\u00f3ja k\u00f6vetkezt\u00e9ben szekunder, s\u00falyos fok\u00fa regurgitatio. A\n                    tricuspidalis billenty\u0171 cser\u00e9j\u00e9nek indik\u00e1ci\u00f3ja fenn\u00e1llt; a Heart Team a\n                    sz\u00edvseb\u00e9szeti m\u0171t\u00e9tet igen nagy kock\u00e1zat\u00fanak tartotta, \u00e9s a billenty\u0171anat\u00f3mia\n                    nem felelt meg a korrekci\u00f3j\u00e1t c\u00e9lz\u00f3 percutan beavatkoz\u00e1soknak, de alkalmasnak\n                    bizonyult TricValve-implant\u00e1ci\u00f3ra. A lehet\u0151s\u00e9gek szerinti kompenz\u00e1lt \u00e1llapotban\n                    bicavalis billenty\u0171rendszert implant\u00e1ltunk, sz\u00f6v\u0151dm\u00e9nyt nem \u00e9szlelt\u00fcnk. A\n                    rehabilit\u00e1ci\u00f3t k\u00f6vet\u0151en a beteg NYHA II-es funkcion\u00e1lis \u00e1llapotba ker\u00fclt,\n                    diuretikumd\u00f3zisa jelent\u0151sen cs\u00f6kkenthet\u0151 volt, \u00e9s a beavatkoz\u00e1st k\u00f6vet\u0151 els\u0151\n                    \u00e9vben nem ig\u00e9nyelt \u00fajabb hospitaliz\u00e1ci\u00f3t cardialis dekompenz\u00e1ci\u00f3 miatt.\n                    El\u0151rehaladott, gy\u00f3gyszeresen nem kezelhet\u0151 jobbsz\u00edvf\u00e9l-el\u00e9gtelens\u00e9get okoz\u00f3\n                    s\u00falyos tricuspidalis regurgitatio eset\u00e9n, amennyiben seb\u00e9szi \u00e9s a billenty\u0171t\n                    c\u00e9lz\u00f3 percutan beavatkoz\u00e1s nem j\u00f6n sz\u00f3ba, megold\u00e1st ny\u00fajthat a\n                    TricValve-implant\u00e1ci\u00f3. Ennek k\u00f6sz\u00f6nhet\u0151en cs\u00f6kken a v\u00e9n\u00e1s rendszerbe a\n                    vissza\u00e1raml\u00e1s, ez\u00e1ltal a sziszt\u00e9m\u00e1s pang\u00e1s \u00e9s a beteg t\u00fcnetei is m\u00e9rs\u00e9kl\u0151dnek.\n                    Jelen ismereteink szerint az elj\u00e1r\u00e1s megfelel\u0151 t\u00fcneti kezel\u00e9st ny\u00fajthat, arr\u00f3l\n                    azonban m\u00e9g nem \u00e1llnak rendelkez\u00e9sre adatok, hogy a beavatkoz\u00e1s befoly\u00e1solja-e a\n                    t\u00fal\u00e9l\u00e9st. Orv Hetil. 2025; 166(32): 1271\u20131277.<\/jats:p>","DOI":"10.1556\/650.2025.33360","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T05:32:28Z","timestamp":1754890348000},"page":"1271-1277","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":0,"title":["\u00daj kat\u00e9teres elj\u00e1r\u00e1s s\u00falyos tricuspidalis regurgitatio kezel\u00e9s\u00e9re"],"prefix":"10.1556","volume":"166","author":[{"given":"Dorottya","family":"Kecskem\u00e9ti","sequence":"first","affiliation":[{"name":"Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiovaszkul\u00e1ris Int\u00e9zet Budapest, Haller u. 29., 1096 Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, Doktori Iskola Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zsolt","family":"Nagy","sequence":"additional","affiliation":[{"name":"Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiovaszkul\u00e1ris Int\u00e9zet Budapest, Haller u. 29., 1096 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e1s","family":"Temesv\u00e1ri","sequence":"additional","affiliation":[{"name":"Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiovaszkul\u00e1ris Int\u00e9zet Budapest, Haller u. 29., 1096 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olga Hajnalka","family":"B\u00e1lint","sequence":"additional","affiliation":[{"name":"Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiovaszkul\u00e1ris Int\u00e9zet Budapest, Haller u. 29., 1096 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00e9za","family":"Fontos","sequence":"additional","affiliation":[{"name":"Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiovaszkul\u00e1ris Int\u00e9zet Budapest, Haller u. 29., 1096 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter","family":"Andr\u00e9ka","sequence":"additional","affiliation":[{"name":"Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiovaszkul\u00e1ris Int\u00e9zet Budapest, Haller u. 29., 1096 Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Topilsky Y, Maltais S, Medina Inojosa J, et al. 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Eur Heart J\n                    Cardiovasc Imaging 2023; 24: 733\u2013741.","DOI":"10.1093\/ehjci\/jead016"},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Gavazzoni M, Heilbron F, Badano LP, et al. The atrial secondary\n                    tricuspid regurgitation is associated to more favorable outcome than the\n                    ventricular phenotype. Front Cardiovasc Med. 2022; 9: 1022755. Erratum: Front\n                    Cardiovasc Med. 2023; 10: 1169907.","DOI":"10.3389\/fcvm.2022.1022755"},{"key":"R6","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.17925\/HI.2024.18.2.4\n                    (heart-int-18-2-024.pdf).","DOI":"10.17925\/HI.2024.18.2.4"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Yasser M Sammour MF, Francisco Cabral-Amador, Jian Garcia, et al.\n                    Transcatheter management of tricuspid regurgitation: a rewiev of contemporary\n                    evidence. 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