Raman Jai, Lai David T M, Dobrilovic Nikola, Aziz Salim
Cardiothoracic Surgery, Knight Cardiovascular Institute, Oregon Health & Science University, Portland, Oregon.
National University of Singapore, Singapore.
Ann Thorac Surg. 2017 Jan;103(1):e97-e99. doi: 10.1016/j.athoracsur.2016.06.038.
Aortic root reconstruction in the setting of redo aortic valve procedures or infective endocarditis may be technically challenging, particularly because of variable destruction or distortion of the left ventricular outflow tract. Homograft aortic root replacement is an excellent option for aortic root abscesses but is limited by homograft availability. We describe a simple technique of a bioprosthetic valved conduit constructed on the table using a Dacron (DuPont, Wilmington, DE) skirt below the valve. The use of the Dacron skirt facilitates easy reconstruction of the left ventricular outflow tract.
在再次进行主动脉瓣手术或感染性心内膜炎的情况下，主动脉根部重建在技术上可能具有挑战性，特别是由于左心室流出道存在不同程度的破坏或变形。同种异体主动脉根部置换术是治疗主动脉根部脓肿的理想选择，但受到同种异体移植物可用性的限制。我们描述了一种简单的技术，即在手术台上使用瓣膜下方的涤纶（杜邦公司，特拉华州威尔明顿）裙边构建带生物瓣膜的管道。涤纶裙边的使用便于左心室流出道的重建。
