Department of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan.
Department of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan.
Ann Thorac Surg. 2020 Jun;109(6):e435-e437. doi: 10.1016/j.athoracsur.2019.09.084. Epub 2019 Nov 22.
The history of aortic valve surgery began with the Hufnagel procedure. In 1953, Hufnagel reported the first successful treatment of aortic insufficiency by the implantation of a ball-valve prosthesis into the descending aorta. We present a 33-year-old male patient with a complicated surgical history needing a sixth-time redo aortic valve replacement for severe prosthetic paravalvular leak in the presence of fresh intracranial hemorrhage. His deteriorating clinical picture was successfully temporized by a transcatheter valve placement in the descending aorta (modified Hufnagel procedure). This report illustrates a potential role of a modified Hufnagel procedure as a bridge to definitive surgery.
主动脉瓣手术的历史始于 Hufnagel 手术。1953 年，Hufnagel 报道了首例通过将球瓣假体植入降主动脉成功治疗主动脉瓣关闭不全的病例。我们报告了一位 33 岁的男性患者，他有复杂的手术史，因新发颅内出血伴严重瓣周漏需要第六次再次主动脉瓣置换。他的病情恶化，通过在降主动脉内置入经导管瓣膜（改良 Hufnagel 手术）成功地进行了临时治疗。本报告说明了改良 Hufnagel 手术作为确定性手术桥接的潜在作用。
