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使用无缝合瓣膜假体进行全根部置换术后再次主动脉瓣植入术。

Redo Aortic Valve Implantation After Full Root Replacement Using A Sutureless Valve Prosthesis.

作者信息

Götte Julia, Hemmer Wolfgang, Roser Detlef, Liebrich Markus, Doll Nicolas

机构信息

Sana Cardiac Surgery Stuttgart GmbH, Stuttgart, Germany.

Sana Cardiac Surgery Stuttgart GmbH, Stuttgart, Germany.

出版信息

Ann Thorac Surg. 2016 Nov;102(5):e421-e422. doi: 10.1016/j.athoracsur.2016.01.067.

Abstract

We report the case of a 83-year-old man who had undergone a full root replacement with a stentless bioprosthesis 15 years earlier. He was now diagnosed with severe aortic valve regurgitation secondary to leaflet degeneration, moderate mitral regurgitation, and single-vessel coronary artery disease. To reduce cross-clamp time and technical difficulties a sutureless aortic prosthesis was used. His surgery and postoperative course were uneventful. This is the first report of the successful use of a sutureless aortic valve prosthesis in a patient after bioprosthetic full root replacement who required additional mitral repair and coronary artery bypass surgery.

摘要

我们报告了一例83岁男性患者的病例,该患者15年前接受了无支架生物瓣膜全根部置换术。他现在被诊断为因瓣叶退变导致的严重主动脉瓣反流、中度二尖瓣反流和单支冠状动脉疾病。为了减少主动脉阻断时间和技术难度,使用了无缝合主动脉瓣膜假体。他的手术及术后过程顺利。这是首次报道在接受生物瓣膜全根部置换术后需要额外进行二尖瓣修复和冠状动脉搭桥手术的患者中成功使用无缝合主动脉瓣膜假体的病例。

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