动脉调转术后新主动脉根部扩张伴不均衡瓣叶反流的保留瓣膜再植入术
Valve-sparing reimplantation for neoaortic root dilatation and regurgitation with an unbalanced cusp after the arterial switch operation.
作者信息
Yoneyama Fumiya, Okamura Toru, Harada Yorikazu, Okita Yutaka
机构信息
Department of Cardiovascular Surgery, Kobe University Graduate School of Medicine, Japan.
Kobe University Graduate School of Medicine, Nagano Children's Hospital, Japan.
出版信息
J Card Surg. 2018 Feb;33(2):122-125. doi: 10.1111/jocs.13543. Epub 2018 Feb 21.
A 13-year-old male presented with neoaortic root dilatation and severe aortic valve regurgitation 13 years following an arterial switch operation. The valve cusps were unbalanced due to an enlarged non-coronary cusp. A valve-sparing reimplantation with a cusp plication was performed which resulted in a competent valve with trivial regurgitation. Thus, even in an unbalanced cusp, valve-sparing reimplantation can be used for neoaortic root dilatation and valve regurgitation after an arterial switch operation.
一名13岁男性在动脉调转手术13年后出现新主动脉根部扩张和严重主动脉瓣反流。由于非冠状动脉瓣叶增大，瓣叶不平衡。进行了保留瓣膜的再植入术并进行瓣叶折叠，结果瓣膜功能良好，仅有微量反流。因此，即使在瓣叶不平衡的情况下，保留瓣膜的再植入术也可用于动脉调转手术后的新主动脉根部扩张和瓣膜反流。
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