Lamelas Joseph, Mihos Christos G, Santana Orlando
University Division of Cardiac Surgery, Mount Sinai Heart Institute, Miami Beach, Florida 33140, USA.
J Heart Valve Dis. 2013 Jan;22(1):11-3.
Clinically significant mitral regurgitation is often found in conjunction with severe aortic valve stenosis. Adding mitral valve surgery to an aortic valve replacement (AVR) increases the operative risk. However, this increased operative risk may be reduced if, during AVR, a standard double-valve surgery is avoided and AVR isperformed instead with a transaortic edge-to-edge repair of the mitral valve. Utilizing a minimally invasive approach with this technique may further reduce the operative risk when compared to a median sternotomy approach. The procedural technique for this surgery is described in the present report.
临床上显著的二尖瓣反流常与严重主动脉瓣狭窄同时存在。在主动脉瓣置换术（AVR）中增加二尖瓣手术会增加手术风险。然而，如果在AVR期间避免标准的双瓣手术，而是采用经主动脉二尖瓣缘对缘修复术来进行AVR，这种增加的手术风险可能会降低。与正中胸骨切开术相比，采用微创方法应用该技术可能会进一步降低手术风险。本报告描述了该手术的操作技术。
