Bolman R Morton
Division of Cardiac Surgery, Brigham & Women's Hospital, Boston, Massachusetts 02115, USA. E-mail:
Tex Heart Inst J. 2011;38(6):672-3.
Multiple lines of evidence establish a relationship between BAV and proximal aortic aneurysms. Emerging indications and techniques are leading to a more standardized surgical approach to these patients. In the individual patient, however, one must use judgment to determine the best approach on the basis of several factors, including age, comorbidities, extent of concomitant surgery, and the expected risk of subsequent complications.
多条证据证实了二叶式主动脉瓣(BAV)与升主动脉瘤之间的关系。新出现的适应症和技术正促使针对这些患者采用更标准化的手术方法。然而,对于个体患者,必须根据包括年龄、合并症、同期手术范围以及后续并发症的预期风险等多种因素,运用判断力来确定最佳治疗方法。