Urganci Erhan, Aliabadi-Zuckermann Arezu, Sandner Sigrid, Herbst Claudia, Gökler Johannes, Laufer Günther, Zimpfer Daniel
Department of Cardiac Surgery, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria.
Department of Cardiac Surgery, Medical University of Vienna Spitalgasse 23, A1090 Vienna, Austria.
Multimed Man Cardiothorac Surg. 2019 Jul 25;2019. doi: 10.1510/mmcts.2019.017.
The Konno-Rastan procedure is an anterior aortoventriculoplasty that has the aim of relieving subvalvar, valvar, and supravalvar stenosis. It can be helpful for patients with aortic stenosis at any level and also for those with a prior implanted aortic and/or mitral prosthesis. The patient presented in this video tutorial had a history of rheumatic heart disease with previously implanted mechanical prostheses in the aortic as well as the mitral position. We provide detailed insight on how to perform the Konno incision safely and demonstrate the reconstruction of the aortic root, as well as the ventricular septum and the right ventricular outflow tract using a patch of bovine pericardium.
康诺-拉斯坦手术是一种前向性主动脉心室成形术，旨在缓解瓣膜下、瓣膜及瓣膜上狭窄。它对任何程度的主动脉狭窄患者以及先前植入主动脉和/或二尖瓣假体的患者都可能有帮助。本视频教程中的患者有风湿性心脏病史，先前在主动脉和二尖瓣位置植入了机械假体。我们详细介绍了如何安全地进行康诺切口，并展示了使用一片牛心包重建主动脉根部、室间隔和右心室流出道的过程。
