Zhang Tao, Jiang Shengli, Wang Yao, Cheng Mingyan, Cheng Tingting, Gao Changqing
Department of Cardiovascular Surgery of Chinese PLA General Hospital, Institute of Cardiac Surgery of Chinese PLA, Beijing, PR China.
Heart Surg Forum. 2013 Apr;16(2):E103-6. doi: 10.1532/HSF98.20121104.
Aortic valve regurgitation caused by a leaflet perforation occurs most often with infective endocarditis involving the aortic valve. Although rare, leaflet perforation can be caused by suture-related injury during cardiac operations, such as mitral valve replacement, ventricular septal defect (VSD) repair, and repair of an ostium primum atrial septal defect. Few reports have described this form of iatrogenic aortic valve leaflet perforation. We used a pericardial patch in a successful repair of an iatrogenic perforation in an aortic valve leaflet that occurred after simple VSD repair.
瓣叶穿孔导致的主动脉瓣反流最常发生于累及主动脉瓣的感染性心内膜炎。虽然罕见，但瓣叶穿孔可由心脏手术期间的缝线相关损伤引起，如二尖瓣置换术、室间隔缺损（VSD）修补术和原发孔型房间隔缺损修补术。很少有报告描述这种医源性主动脉瓣叶穿孔形式。我们使用心包补片成功修复了单纯VSD修补术后发生的医源性主动脉瓣叶穿孔。
