在多瓣膜手术中基于黑加氏法的主动脉瓣置换术
Hegar-based method for aortic valve replacement in multiple valve surgery.
作者信息
Gennari Marco, Agrifoglio Marco, Ricciardi Gabriella, Polvani Gianluca
机构信息
IRCCS Centro Cardiologico Monzino, Via Parea 4, 20138, Milan, Italy.
Department of Cardiovascular Sciences and Community Health, University of Milan, Milan, Italy.
出版信息
J Cardiothorac Surg. 2018 May 21;13(1):49. doi: 10.1186/s13019-018-0723-8.
BACKGROUND
Small aortic annuli are a challenge and a proper valve size is needed to avoid important prosthesis-patient mismatch, especially in case of multiple valves surgery.
CASE PRESENTATION
We proposed a technique involving the use of Hegar dilators in the aortic position while replacing the mitral valve, in order to maintain the proper aortic diameter. We used this method on two patients and we found it easy and reproducible.
CONCLUSIONS
We report neither operative nor postoperative complications.
背景
小主动脉瓣环是一个挑战，需要合适的瓣膜尺寸以避免严重的人工瓣膜-患者不匹配，尤其是在多瓣膜手术的情况下。
病例介绍
我们提出了一种在置换二尖瓣时在主动脉位置使用黑加扩张器的技术，以维持合适的主动脉直径。我们在两名患者身上使用了这种方法，发现它简单且可重复。
结论
我们未报告手术及术后并发症。
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