主动脉-心房-房间隔联合切口用于再次主动脉瓣置换术。
Aorta-atria-septum combined incision for aortic valve re-replacement.
作者信息
Xu Yiwei, Ye Xiaofeng, Li Zhaolong, Zhao Qiang
机构信息
Department of Cardiac Surgery, Ruijin Hospital Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
出版信息
J Thorac Dis. 2018 Apr;10(4):E285-E288. doi: 10.21037/jtd.2018.04.48.
Abstract
This case report illustrates a patient who underwent supra-annular mechanical aortic valve replacement then suffered from prosthesis dysfunction, increasing pressure gradient with aortic valve. She was successfully underwent aortic valve re-replacement, sub-annular pannus removing and aortic annulus enlargement procedures through combined cardiac incision passing through aortic root, right atrium (RA), and upper atrial septum. This incision provides optimal visual operative field and simplifies dissection.
摘要
本病例报告展示了一名接受瓣环上机械主动脉瓣置换术的患者，随后出现人工瓣膜功能障碍，主动脉瓣压力阶差增加。她通过经主动脉根部、右心房（RA）和房间隔上部的联合心脏切口，成功接受了主动脉瓣再次置换、瓣环下 pannus 清除和主动脉瓣环扩大手术。该切口提供了最佳的可视化手术视野并简化了解剖过程。
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