Saito Satoshi, Yamazaki Kenji
Department of Cardiovascular Surgery ,Tokyo Women's Medical University, Tokyo, Japan.
Kyobu Geka. 2013 Jul;66(8 Suppl):625-30.
Historically, redo cardiac surgery for aortic valve replacement (AVR) is technically challenging and carries a high incidence of peri-operative complications. However, experience in the field continues to evolve generating reproducible, and increasingly safer results. Recent low initial operative mortalitysuggests that surgery is safe and reproducible. However, older age and multiple co-morbidities in this patient population may significantly influence late outcomes. The published data support open surgical technique as a safe, reliable approach for redo AVR. Minimum invasive approach for redo AVR and transcatheter aortic valve implantation (TAVI) technology are evolving rapidly and promises an exciting future. Careful observation for these new alternative options for redo AVR is mandatory and paramount.
从历史上看，再次进行主动脉瓣置换术（AVR）的心脏手术在技术上具有挑战性，围手术期并发症的发生率很高。然而，该领域的经验不断发展，产生了可重复且日益安全的结果。近期较低的初始手术死亡率表明手术是安全且可重复的。然而，该患者群体的高龄和多种合并症可能会显著影响远期预后。已发表的数据支持开放手术技术是再次进行AVR的一种安全、可靠的方法。再次进行AVR的微创方法和经导管主动脉瓣植入术（TAVI）技术正在迅速发展，并预示着一个令人兴奋的未来。必须密切关注这些再次进行AVR的新替代选择，这至关重要。
