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主动脉瓣置换术中重度钙化升主动脉的置换

Replacement of the heavily calcified ascending aorta in aortic valve replacement.

作者信息

Matsumoto Kazuhisa, Hisashi Yosuke, Imoto Yutaka

机构信息

Department of Cardiovascular and Gastroenterological Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan

Department of Cardiovascular and Gastroenterological Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.

出版信息

Asian Cardiovasc Thorac Ann. 2015 Mar;23(3):349-52. doi: 10.1177/0218492314539949. Epub 2014 Jun 13.

DOI:10.1177/0218492314539949
PMID:24928643
Abstract

A totally calcified ascending aorta prevents aortic crossclamping and aortotomy during aortic valve replacement, and replacement of the ascending aorta is a valid option in these cases. We describe a simple technique for calcified ascending aorta replacement using the Cavitron Ultrasonic Surgical Aspirator. This can be used in aortic endarterectomy for removal of the calcified plaque in the anastomotic part.

摘要

完全钙化的升主动脉会妨碍在主动脉瓣置换术中进行主动脉交叉钳夹和主动脉切开术，在这些情况下，替换升主动脉是一种有效的选择。我们描述了一种使用Cavitron超声手术吸引器替换钙化升主动脉的简单技术。这可用于主动脉内膜切除术，以清除吻合部位的钙化斑块。

相似文献

1
Replacement of the heavily calcified ascending aorta in aortic valve replacement.主动脉瓣置换术中重度钙化升主动脉的置换
Asian Cardiovasc Thorac Ann. 2015 Mar;23(3):349-52. doi: 10.1177/0218492314539949. Epub 2014 Jun 13.
2
Aortotomy and endarterectomy of the ascending aorta for aortic valve replacement in a patient with porcelain aorta.为一名患有瓷化主动脉的患者进行升主动脉切开术和动脉内膜切除术以置换主动脉瓣。
Surg Today. 2005;35(11):1000-3. doi: 10.1007/s00595-005-3058-8.
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[Endarterectomy and aortic valve replacement in a patient with severely calcified ascending aortic root].[严重钙化升主动脉根部患者的内膜切除术和主动脉瓣置换术]
Kyobu Geka. 2009 Dec;62(13):1132-5.
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Aortic valve replacement in a heavily calcified "porcelain" aorta.
Jpn J Thorac Cardiovasc Surg. 2001 Jul;49(7):453-6. doi: 10.1007/BF02913912.
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[Aortic valve replacement in a patient with severely calcified small aorta valve and ascending aorta].[严重钙化的小主动脉瓣和升主动脉患者的主动脉瓣置换术]
Kyobu Geka. 1994 Mar;47(3):191-3.
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Endarterectomy of the ascending aorta: an alternative method in patients with extensively calcified (porcelain) aorta requiring aortic valve replacement.升主动脉内膜切除术：在需要进行主动脉瓣置换的广泛钙化（瓷化）主动脉患者中的一种替代方法。
J Card Surg. 1997 May-Jun;12(3):160-4; discussion 165-6. doi: 10.1111/j.1540-8191.1997.tb00116.x.
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[Surgery of aortic valve stenosis with porcelain aorta under hypothermic circulatory arrest].[低温循环停搏下瓷化主动脉合并主动脉瓣狭窄的手术]
Orv Hetil. 2003 Feb 16;144(7):313-6.
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The Cabrol technique for replacement of the aortic valve and totally calcified ascending aorta: a case report.用于置换主动脉瓣及完全钙化升主动脉的卡布罗尔技术：病例报告
J Heart Valve Dis. 1994 Jan;3(1):98-100.
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Endarterectomy for calcified porcelain aorta associated with aortic valve stenosis.针对与主动脉瓣狭窄相关的钙化瓷化主动脉进行内膜切除术。
Ann Thorac Surg. 1996 Jan;61(1):149-52. doi: 10.1016/0003-4975(95)00984-1.
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Aortic valve replacement through the transected aorta in a patient with aortic stenosis and a calcified ascending aorta.在一名患有主动脉瓣狭窄和升主动脉钙化的患者中，通过横断主动脉进行主动脉瓣置换术。
Ann Thorac Cardiovasc Surg. 1998 Feb;4(1):41-3.

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Decalcification of a Heavily Calcified Common Femoral Artery and its Bifurcation with a Cavitron Ultrasonic Surgical Aspirator.
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EJVES Short Rep. 2016 Nov 5;34:5-8. doi: 10.1016/j.ejvssr.2016.09.003. eCollection 2017.