Hirnle Tomasz, Sobkowicz Bozena, Juszczyk Grzegorz, Janiszewski Wawrzyniec, Jakubów Piotr, Trzciński Robert, Hirnle Grzegorz, Dmitruk Iwona, Lewczuk Anna, Fiedorczuk Kinga
Klinika Kardiochirurgii, Uniwersytet Medyczny, Białystok.
Kardiol Pol. 2009 Jul;67(7):765-8.
A case of a 73-year-old patient with critical aortic stenosis, porcelain aorta and occluded femoral arteries is presented. We performed apico-aortic valved conduit (A-AVC) without cardiopulmonary bypass (CPB). Hegar dilator inserted through the apex into the left ventricle allowed anastomosis of dacron tube to the apex. Valved conduit was anastomosed to the descending aorta. Both tubes were connected. Before the operation, maximal gradient through the valve was 95, after operation dropped to 33 mmHg. This method of apical anastomosis allowed to perform A-AVC without CPB in a patient with extremely high peri-operative risk while using CPB.
本文介绍了一例73岁患有严重主动脉瓣狭窄、瓷化主动脉和股动脉闭塞的患者。我们在无体外循环（CPB）的情况下进行了心尖-主动脉带瓣管道（A-AVC）手术。通过心尖插入左心室的黑加扩张器使涤纶管与心尖吻合。带瓣管道与降主动脉吻合。两根管道相连。术前通过瓣膜的最大压差为95，术后降至33mmHg。这种心尖吻合方法使得在使用CPB时围手术期风险极高的患者能够在无CPB的情况下进行A-AVC手术。
