Manouguian S
Thoraxchir Vask Chir. 1976 Oct;24(5):418-23. doi: 10.1055/s-0028-1095957.
The purpose of this communication is to propose a new surgical procedure to enlarge the hypoplastic aortic valve ring of more than 20 mm and to permit the replacement of the aortic valve with a suitable prosthesis. The aortic incision is extended about 20 mm across the fibrous origin of the mitral ring downwards into the aortic leaflet of the mitral valve. A fusiform Dacron patch was sutured to the defect in the aortic leaflet of the mitral valve with running suture lines. In acute experiments mitral valve abnormalities are excluded by hemodynamic data, angiocardiography and echocardiography.
本通讯的目的是提出一种新的外科手术方法，以扩大直径超过20毫米的发育不全主动脉瓣环，并允许用合适的人工瓣膜替换主动脉瓣。主动脉切口在二尖瓣环的纤维起始处向下延伸约20毫米，进入二尖瓣的主动脉瓣叶。用连续缝合线将梭形涤纶补片缝合到二尖瓣主动脉瓣叶的缺损处。在急性实验中，通过血流动力学数据、心血管造影和超声心动图排除二尖瓣异常。
