Stamou Sotiris C, Moeller Ellie A, Nores Marcos A
Department of Thoracic and Cardiovascular Surgery, JFK Medical Center, Atlantis, Florida.
Int J Angiol. 2019 Mar;28(1):64-68. doi: 10.1055/s-0038-1676967. Epub 2019 Jan 28.
Continuous suture technique (CST) for aortic valve replacement (AVR) is a simple, secure, and fast surgical technique that has been shown to significantly decrease cross clamp time and cardiac bypass time, ultimately resulting in decreased myocardial ischemic injury, operation time, and hospital stay. However, previous studies have reported increased risk of periprosthetic regurgitation with CST for AVR. We describe our technique for AVR using CST in 100 patients with low complication rate and no perioperative paravalvular aortic insufficiency.
用于主动脉瓣置换术(AVR)的连续缝合技术(CST)是一种简单、安全且快速的外科技术,已被证明可显著缩短主动脉阻断时间和体外循环时间,最终减少心肌缺血损伤、手术时间和住院时间。然而,既往研究报道,CST用于AVR时人工瓣膜周反流风险增加。我们描述了在100例患者中使用CST进行AVR的技术,其并发症发生率低,且围手术期无瓣周主动脉瓣关闭不全。