Ghosh-Dastidar Michael, Bapat Vinayak
Department of Cardiac Surgery, St. Thomas' Hospital, London, United Kingdom.
Department of Cardiac Surgery, St. Thomas' Hospital, London, United Kingdom.
Ann Thorac Surg. 2017 Sep;104(3):e303-e305. doi: 10.1016/j.athoracsur.2017.05.014.
We describe an improvised technique during open surgery of inserting a transcatheter heart valve in the mitral position under very challenging circumstances. This is the first described use of the "extended collar" technique, which allowed implantation of a transcatheter heart valve in severe mitral valve annular calcification, into which a surgical valve could not safely be implanted. We believe that this technique is reproducible and may be helpful to other surgeons when faced with similar difficult circumstances.
我们描述了一种在极具挑战性的情况下，于二尖瓣位置进行开胸手术时插入经导管心脏瓣膜的简易技术。这是首次描述使用“延长套环”技术，该技术使得在严重二尖瓣环钙化的情况下能够植入经导管心脏瓣膜，而在此种情况下无法安全植入外科瓣膜。我们认为这种技术具有可重复性，并且在其他外科医生面临类似困难情况时可能会有所帮助。
