Langer F, Wendler O, Graeter T, Nikoloudakis N, Aicher D, Fries R, Schäfers H J
Abteilung für Thorax- u. Herz-Gefässchirurgie, Universitätskliniken des Saarlandes, Homburg/Saar.
Z Kardiol. 2000 Oct;89(10):932-8. doi: 10.1007/s003920070167.
Reconstruction of a regurgitant bicuspid aortic valve is a new alternative to aortic valve replacement. With concomitant aortic root dilatation adequate reconstruction is feasible by valve-sparing aortic replacement. Between 10/95 and 02/00, 30 patients underwent reconstruction of a regurgitant bicuspid aortic valve. Additional aortic replacement was performed in 23 cases. Valve reconstruction was performed by plication of the prolapsing leaflet. No patient died peri- or postoperatively. Freedom from aortic valve regurgitation > or = II as well as freedom from reoperation were 100% after 48 months. Reconstruction of a regurgitant bicuspid aortic valve is feasible with encouraging mid-term results. With concomitant dilatation of the ascending aorta, a combination of aortic replacement and valve reconstruction can achieve stable results even in bicuspid valve anatomy.
反流性二叶式主动脉瓣重建术是主动脉瓣置换术的一种新的替代方法。对于合并主动脉根部扩张的情况，保留瓣膜的主动脉置换术可实现充分的重建。在1995年10月至2000年2月期间，30例患者接受了反流性二叶式主动脉瓣重建术。23例患者还进行了主动脉置换术。瓣膜重建通过折叠脱垂的瓣叶进行。围手术期及术后无患者死亡。48个月后，主动脉瓣反流≥Ⅱ级的无复发率以及再次手术的无复发率均为100%。反流性二叶式主动脉瓣重建术是可行的，中期结果令人鼓舞。对于合并升主动脉扩张的情况，即使是二叶式瓣膜解剖结构，主动脉置换术和瓣膜重建术相结合也能取得稳定的效果。
