主动脉瓣手术：微创选择
Aortic Valve Surgery: Minimally Invasive Options.
作者信息
Ramlawi Basel, Bedeir Kareem, Lamelas Joseph
机构信息
Valley Health System, Winchester, Virginia.
Brigham and Women's Hospital, Boston, Massachusetts.
出版信息
Methodist Debakey Cardiovasc J. 2016 Jan-Mar;12(1):27-32. doi: 10.14797/mdcj-12-1-27.
Abstract
Minimally invasive aortic valve surgery has not been adopted by a significant proportion of cardiac surgeons despite proven benefits. This may be related to a high learning curve and technical issues requiring retraining. In this review, we discuss the data for minimally invasive aortic valve surgery and describe our operative technique for both ministernotomy and anterior thoracotomy approaches. We also discuss the advent of novel sutureless valves and how these techniques compare to available transcatheter aortic valve procedures.
摘要
尽管微创主动脉瓣手术已被证明具有益处，但仍有很大比例的心脏外科医生未采用该手术。这可能与较高的学习曲线以及需要重新培训的技术问题有关。在本综述中，我们讨论了微创主动脉瓣手术的数据，并描述了我们采用胸骨上段小切口和前外侧开胸入路的手术技术。我们还讨论了新型无缝合瓣膜的出现，以及这些技术与现有的经导管主动脉瓣手术相比情况如何。
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