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Valve-sparing aortic root replacement and tricuspidization in a patient with an asymmetric bicuspid aortic valve.一名患有不对称二叶式主动脉瓣患者的保留瓣膜主动脉根部置换术及三尖瓣化手术
Tex Heart Inst J. 2010;37(1):79-81.
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Aortic valve/root procedures in patients with an anomalous left circumflex coronary artery and a bicuspid aortic valve: anatomical and technical implications.左回旋支冠状动脉异常合并二叶式主动脉瓣患者的主动脉瓣/根部手术:解剖学及技术要点
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Implications of intraoperative transesophageal echocardiography detection of ruptured sinus of valsalva in a patient with severe aortic regurgitation undergoing aortic valve replacement.术中经食管超声心动图检测到瓦氏窦破裂对一名接受主动脉瓣置换术的严重主动脉瓣反流患者的影响。
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本文引用的文献

1
Aortic root remodeling: ten-year experience with 274 patients.主动脉根部重塑:274例患者的十年经验
J Thorac Cardiovasc Surg. 2007 Oct;134(4):909-15. doi: 10.1016/j.jtcvs.2007.05.052.
2
Surgical strategy for the bicuspid aortic valve: tricuspidization with cusp extension versus pulmonary autograft.二叶式主动脉瓣的手术策略:瓣叶延长三尖瓣化与肺动脉自体移植术
J Thorac Cardiovasc Surg. 2007 Jul;134(1):90-8. doi: 10.1016/j.jtcvs.2007.01.054.
3
Preservation of the bicuspid aortic valve.二叶式主动脉瓣的保留
Ann Thorac Surg. 2007 Feb;83(2):S740-5; discussion S785-90. doi: 10.1016/j.athoracsur.2006.11.017.
4
Long-term results of aortic valve-sparing operations for aortic root aneurysm.主动脉根部动脉瘤保留主动脉瓣手术的长期结果
J Thorac Cardiovasc Surg. 2006 Aug;132(2):347-54. doi: 10.1016/j.jtcvs.2006.03.053. Epub 2006 Jul 10.
5
Tricuspidization of incompetent bicuspid aortic valve.功能不全的二叶式主动脉瓣三尖瓣化
J Thorac Cardiovasc Surg. 2003 Sep;126(3):908-10. doi: 10.1016/s0022-5223(03)00391-x.
6
Aortic insufficiency in a patient with Marfan syndrome after aortic root reconstruction with a tailored-sinus graft.一名马凡综合征患者在接受定制型主动脉窦移植进行主动脉根部重建后出现主动脉瓣关闭不全。
Tex Heart Inst J. 2003;30(3):243-5.
7
Clinical introduction of a novel prosthesis for valve-preserving aortic root reconstruction for annuloaortic ectasia.一种用于瓣周主动脉扩张的保留瓣膜主动脉根部重建的新型假体的临床介绍。
J Thorac Cardiovasc Surg. 2000 Oct;120(4):692-8. doi: 10.1067/mtc.2000.109699.

一名患有不对称二叶式主动脉瓣患者的保留瓣膜主动脉根部置换术及三尖瓣化手术

Valve-sparing aortic root replacement and tricuspidization in a patient with an asymmetric bicuspid aortic valve.

作者信息

Konstantinov Igor E, Saxena Pankaj

机构信息

Department of Cardiothoracic Surgery, Sir Charles Gairdner Hospital, and School of Surgery, University of Western Australia, Perth 6009, Australia.

出版信息

Tex Heart Inst J. 2010;37(1):79-81.

PMID:20200632
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2829791/
Abstract

Aortic valve replacement is the standard surgical procedure for severe aortic regurgitation. Due to advances over the past decade, there have been substantial improvements in aortic root graft design, in aortic valve repair techniques, and in the understanding of valvular function in the remodeled aortic root. Herein, we describe the case of a dyspneic patient with an asymmetric bicuspid aortic valve who underwent valve-sparing aortic root replacement and tricuspidization. The patient subsequently resumed strenuous physical activity and was asymptomatic 2 years after the operation.

摘要

主动脉瓣置换术是治疗严重主动脉瓣反流的标准外科手术。由于过去十年的进展,主动脉根部移植物设计、主动脉瓣修复技术以及对重塑主动脉根部瓣膜功能的理解都有了显著改善。在此,我们描述了一名患有不对称二叶式主动脉瓣且呼吸困难的患者,该患者接受了保留瓣膜的主动脉根部置换术和三尖瓣化手术。患者随后恢复了剧烈体育活动,术后2年无症状。