Yaku Hitoshi, Shimada Yasuyuki, Yamada Yoshiaki, Hayashida Kyoko, Fukumoto Atsushi, Watanabe Taiji, Kitamura Nobuo
Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Ann Thorac Surg. 2004 Nov;78(5):1851-3. doi: 10.1016/j.athoracsur.2003.09.096.
A new partial translocation technique to repair left ventricular rupture after mitral valve replacement and reimplant a mitral prosthesis is described. We repaired a tear from the interior by using mattress stitches buttressed with strips of Dacron felt, constructed a new annulus with a crescent-shaped piece of bovine pericardium on the left atrial wall above the repaired mitral annulus, and implanted a new prosthesis by using the newly constructed mitral annulus. We consider avoidance of mechanical stress by the prosthesis on the repaired site crucial to a successful outcome, and this new method is useful.
描述了一种新的部分移位技术，用于在二尖瓣置换术后修复左心室破裂并重新植入二尖瓣假体。我们通过使用带涤纶毡条支撑的褥式缝线从内部修复撕裂口，在修复的二尖瓣环上方的左心房壁上用一块新月形牛心包构建一个新的瓣环，并使用新构建的二尖瓣环植入一个新的假体。我们认为避免假体对修复部位产生机械应力对成功的结果至关重要，这种新方法很有用。
