经主动脉 Alfieri 缘对缘修复术治疗功能性二尖瓣反流。

Transaortic Alfieri Edge-to-Edge Repair for Functional Mitral Regurgitation.

机构信息

Department of Cardiovascular Surgery, Clinical Research Institute, National Hospital Organization Kyushu Medical Center, Fukuoka Japan.

出版信息

Ann Thorac Surg. 2018 Mar;105(3):e141-e143. doi: 10.1016/j.athoracsur.2017.10.028.

DOI:10.1016/j.athoracsur.2017.10.028

PMID:29455830

Abstract

There is controversy about handling functional mitral regurgitation in patients undergoing aortic valve or proximal aortic operations. We describe a transaortic Alfieri edge-to-edge repair for functional mitral regurgitation that reduces operative excessive invasion and prolonged cardiopulmonary bypass time. Between May 2013 and December 2016, 10 patients underwent transaortic Alfieri edge-to-edge mitral repair. There were no operative deaths. The severity of mitral regurgitation immediately after the operation by transesophageal echocardiography was none or trivial in all patients. A transaortic Alfieri edge-to-edge repair for functional mitral regurgitation is a simple and safe approach.

摘要

对于接受主动脉瓣或升主动脉手术的患者，功能性二尖瓣反流的处理存在争议。我们描述了一种经主动脉 Alfieri 边缘对边缘修复术治疗功能性二尖瓣反流的方法，该方法可减少手术过度侵袭和延长体外循环时间。在 2013 年 5 月至 2016 年 12 月期间，10 例患者接受了经主动脉 Alfieri 边缘对边缘二尖瓣修复术。无手术死亡。所有患者经食管超声心动图检查显示术后即刻二尖瓣反流程度均为无或轻度。经主动脉 Alfieri 边缘对边缘修复术治疗功能性二尖瓣反流是一种简单、安全的方法。