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使用美敦力自由式无支架猪主动脉根部生物瓣膜进行主动脉瓣置换术后的结构性瓣膜退变

Structural valve deterioration after aortic valve replacement with Medtronic freestyle stentless porcine aortic root bioprostheses.

作者信息

Nishida Hidefumi, Komiya Tatsuhiko, Sakaguchi Genichi, Shimamoto Takeshi

机构信息

Department of Cardiovascular Surgery, Kurashiki Central Hospital, Kurashiki, Okayama, Japan.

出版信息

J Card Surg. 2014 Jan;29(1):22-5. doi: 10.1111/jocs.12235. Epub 2013 Oct 22.

DOI:10.1111/jocs.12235
PMID:24251776
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4239007/
Abstract

The Medtronic freestyle aortic root bioprosthesis (Medtronic, Inc., Minneapolis, MN, USA) is a stentless valve with an effective orifice area that is larger than that observed on other bioprostheses. However, there have been sporadic reports of structural valve deterioration (SVD), such as aortic root wall rupture, leaflet tearing, and pseudoaneurysm formation. We report five cases of SVD of freestyle aortic root bioprostheses.

摘要

美敦力自由式主动脉根部生物假体（美敦力公司，美国明尼阿波利斯）是一种无支架瓣膜，其有效瓣口面积大于其他生物假体。然而，已有零星报道称出现了结构性瓣膜退变（SVD），如主动脉根壁破裂、瓣叶撕裂和假性动脉瘤形成。我们报告了5例自由式主动脉根部生物假体的SVD病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c566/4239007/c05d9249286d/jocs0029-0022-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c566/4239007/c05d9249286d/jocs0029-0022-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c566/4239007/c05d9249286d/jocs0029-0022-f1.jpg

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本文引用的文献

1
Carpentier-Edwards pericardial valve in the aortic position: 25-years experience.Carpentier-Edwards 心脏生物瓣在主动脉瓣位：25 年的经验。
Ann Thorac Surg. 2013 Aug;96(2):486-93. doi: 10.1016/j.athoracsur.2013.03.032. Epub 2013 May 14.
2
Long-term clinical and echocardiographic follow-up of the Freestyle stentless aortic bioprosthesis.无支架牛心包主动脉生物瓣的长期临床和超声心动图随访。
Circulation. 2012 Sep 11;126(11 Suppl 1):S198-204. doi: 10.1161/CIRCULATIONAHA.111.084806.
3
Perforation of the Valsalva sinus after implantation of Medtronic Freestyle aortic bioprosthesis.
美敦力自由式主动脉生物假体植入术后瓦尔萨尔瓦窦穿孔
Ann Thorac Surg. 2006 Dec;82(6):2282-5. doi: 10.1016/j.athoracsur.2006.04.074.
4
Structural deterioration of the Freestyle aortic valve: mode of presentation and mechanisms.自由式主动脉瓣的结构退化：表现形式及机制
J Thorac Cardiovasc Surg. 2006 Aug;132(2):401-6. doi: 10.1016/j.jtcvs.2006.03.056.
5
Ten-year outcome after aortic valve replacement with the freestyle stentless bioprosthesis.使用 Freestyle 无支架生物瓣膜进行主动脉瓣置换术后的十年随访结果。
Ann Thorac Surg. 2005 Aug;80(2):480-6; discussion 486-7. doi: 10.1016/j.athoracsur.2005.03.027.
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Aortopulmonary fistula due to perforation of the aortic wall of a freestyle stentless valve.无支架自由型人工瓣膜主动脉壁穿孔导致的主肺动脉瘘
Ann Thorac Surg. 2004 Nov;78(5):1827-9. doi: 10.1016/j.athoracsur.2003.07.025.
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Impact of implant technique following freestyle stentless aortic valve replacement.自由式无支架主动脉瓣置换术后植入技术的影响
Ann Thorac Surg. 2002 Oct;74(4):1107-13; discussion 1113-4. doi: 10.1016/s0003-4975(02)03832-8.