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修复前瓣连续性:Spinnaker 修复 Ebstein 畸形。

Restoring anterior leaflet continuity: the Spinnaker repair of Ebstein's anomaly.

机构信息

Department of Thoracic and Cardiovascular Surgery, Southampton University Hospital-NHS Trust, Southampton, United Kingdom.

出版信息

Ann Thorac Surg. 2011 Aug;92(2):752-4. doi: 10.1016/j.athoracsur.2011.03.016.

DOI:10.1016/j.athoracsur.2011.03.016
PMID:21801944
Abstract

Several repair techniques for Ebstein's anomaly include aggressive mobilization of the anterior leaflet and the construction of a monobicuspid valve coapting against the interventricular septum. This can prove difficult when leaflet tissue is of poor quality or several fenestrations reduce leaflet surface. We present a simple and highly reproducible technique for restoring tissue continuity of the anterior leaflet that could represent a possible addendum to the existing array of surgical solutions. Two surgical cases are described. Both patients showed good valve function and trivial tricuspid regurgitation at short-term follow-up.

摘要

几种修复埃布斯坦畸形的技术包括积极活动前瓣,并构建一个单瓣叶与室间隔对合。当瓣叶组织质量差或有多个孔降低瓣叶表面时,这可能会很困难。我们提出了一种简单且高度可重复的技术,用于恢复前瓣的组织连续性,这可能是现有手术解决方案的一个补充。描述了两个手术病例。两个患者在短期随访时均显示出良好的瓣膜功能和轻微的三尖瓣反流。

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