Goldstone Andrew B, Woo Y Joseph
Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Ann Cardiothorac Surg. 2015 Sep;4(5):469-73. doi: 10.3978/j.issn.2225-319X.2015.08.10.
Unique situations arise in which alternative exposures for mitral valve surgery offer distinct advantages over traditional approaches. Each exposure facilitates both mitral valve repair and replacement, although the standard repair procedures must be modified to accommodate these non-traditional exposures. Here, we detail the technical considerations required to perform transventricular and transaortic mitral valve repair as well as discuss the advantages for employing these less conventional approaches.
在某些独特的情况下，二尖瓣手术的替代入路相较于传统方法具有明显优势。每种入路都有助于二尖瓣修复和置换，不过标准的修复程序必须进行调整以适应这些非传统入路。在此，我们详细阐述经心室和经主动脉二尖瓣修复所需的技术要点，并讨论采用这些不太常规方法的优势。
