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术后7年的非感染性严重主动脉瓣周漏:缝合技术的作用

Non infective severe aortic paravalvular leakage 7 years after surgery: the role of suture technique.

作者信息

Agrifoglio Marco, Filippini Sara, Roberto Maurizio, Zanobini Marco, Gregorini Luisa, Alamanni Francesco

机构信息

Department of Cardiovascular Sciences, Centro Cardiologico Monzino IRCCS, University of Milan, Via C, Parea 4, 20138 Milan, Italy.

出版信息

J Cardiothorac Surg. 2011 Apr 23;6:60. doi: 10.1186/1749-8090-6-60.

Abstract

We report a case of redo aortic prosthesis replacement for a severe paravalvular leak (PVL) in a man operated with continuous suture technique 7 years earlier. The severe aortic regurgitation was due to the rupture of the suture. In spite of operations to replace malfunctioning heart valves are common procedures and performed all over the world from more than 50 years, there is still an open debate about the most suitable suture technique. In this case report, we'll discuss if the suture technique has a role in preventing or leading complications as severe PVL.

摘要

我们报告了一例因严重瓣周漏(PVL)而行再次主动脉瓣置换术的病例,患者7年前接受了连续缝合技术手术。严重的主动脉瓣反流是由缝线破裂所致。尽管更换功能失常心脏瓣膜的手术是常见手术,且在全球范围内已开展了50多年,但关于最合适的缝合技术仍存在公开争论。在本病例报告中,我们将讨论缝合技术在预防或导致如严重PVL等并发症方面是否起作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbde/3095550/08fb264da7ab/1749-8090-6-60-1.jpg

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