Lenos Aristidis, Diegeler Anno
From the Department of Cardiac Surgery, Cardiovascular Center Bad Neustadt, Bad Neustadt, Germany.
Innovations (Phila). 2015 May-Jun;10(3):215-7. doi: 10.1097/IMI.0000000000000158.
During the past decade, many surgeons have focused their interest on the development and improvement of minimally invasive techniques for aortic valve replacement. Although the minimally invasive approaches for the treatment of mitral valve disease have been standardized, the preferred route for aortic valve replacement remains a matter of debate. Access through a right minithoracotomy avoids opening the sternum; however, it requires a greater surgical ability and a learning period, even for experienced surgeons. This enhances the role of sutureless prostheses because these devices are associated with easier placement, excellent hemodynamic performance, and acceptable rates of pacemaker implantation and paravalvular leak. Herein, we report a series of 10 consecutive patients who received an EDWARDS INTUITY rapid deployment valve (Edwards Lifesciences, Irvine, CA USA) by a right minithoracotomy.
在过去十年中，许多外科医生将兴趣集中在主动脉瓣置换微创技术的开发和改进上。尽管二尖瓣疾病的微创治疗方法已实现标准化，但主动脉瓣置换的首选途径仍存在争议。通过右胸小切口入路可避免劈开胸骨；然而，即使对于经验丰富的外科医生来说，这也需要更高的手术技能和一段学习期。这增强了无缝合人工瓣膜的作用，因为这些装置具有放置更容易、血流动力学性能优异以及起搏器植入率和瓣周漏发生率可接受等优点。在此，我们报告了连续10例通过右胸小切口接受爱德华兹INTUITY快速植入瓣膜（美国加利福尼亚州尔湾市爱德华兹生命科学公司）的患者。
