经左开胸行肺动脉瓣置换术作为胸骨后切开术的替代方法。
Pulmonary Valve Replacement via Left Thoracotomy as an Alternative to Resternotomy.
机构信息
Department of Cardiovascular Surgery, Kyushu University Hospital, Fukuoka, Japan.
Department of Cardiovascular Medicine, Kyushu University Hospital, Fukuoka, Japan.
出版信息
Ann Thorac Surg. 2020 Dec;110(6):e537-e539. doi: 10.1016/j.athoracsur.2020.03.130. Epub 2020 May 23.
Most patients with repaired tetralogy of Fallot (TOF) survive to adulthood and suffer from residual right ventricular pathology, mostly pulmonary regurgitation. Pulmonary valve replacement (PVR) is a procedure of choice to alleviate right ventricular dilatation and pulmonary regurgitation. Resternotomy is the standard approach for PVR in patients who have undergone TOF repair. However, these patients require multiple reoperations during their lifetime. We performed minimally invasive redo PVR through left mini-thoratocomy in 2 patients who had previously undergone TOF repair through sternotomy.
大多数法洛四联症（TOF）修复术后的患者可存活至成年期，并患有残留的右心室病理学改变，主要是肺动脉瓣反流。肺动脉瓣置换术（PVR）是缓解右心室扩张和肺动脉瓣反流的首选方法。对于已经接受过 TOF 修复的患者，胸骨后切开术是 PVR 的标准方法。然而，这些患者在其一生中需要多次再次手术。我们对 2 例先前通过胸骨切开术接受 TOF 修复的患者，通过左侧微创小开胸术进行了微创再次 PVR。
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