Division of Cardiac Surgery, University of Michigan, Muskegon, Michigan.
Division of Cardiac Surgery, West Virginia University, Morgantown, West Virginia.
Ann Thorac Surg. 2019 Aug;108(2):e69-e71. doi: 10.1016/j.athoracsur.2018.11.073. Epub 2019 Jan 11.
Mitral valve repair is well developed, and it allows for successful reconstruction of selected rheumatic valve pathologies. Rheumatic aortic valve repair also has been successful, using techniques such as Nodular unfolding. Aortic ring annuloplasty is currently available, and when used in conjunction with appropriate leaflet procedures, it could promote rheumatic repair by restoring annular geometry and facilitating leaflet reconstruction. This report describes rheumatic double valve repair in a patient with rheumatic dysfunction of both the aortic and mitral valves.
二尖瓣修复技术已经非常成熟，它可以成功地重建选定的风湿性瓣膜病变。使用结节展开等技术，风湿性主动脉瓣修复也取得了成功。目前已有主动脉环瓣成形术，当与适当的瓣叶手术结合使用时，它可以通过恢复瓣环几何形状和促进瓣叶重建来促进风湿性修复。本报告描述了一名患者的风湿性双瓣修复情况，该患者的主动脉瓣和二尖瓣均存在风湿性功能障碍。
