Di Eusanio Marco, Cefarelli Mariano, Zingaro Carlo, Capestro Filippo, Matteucci Sacha Marco Luciano, D'alfonso Alessandro, Pierri Michele Danilo, Aiello Marco Luigi, Berretta Paolo
Cardiac Surgery Unit, Cardiovascular Department, Ospedali Riuniti, Politechnic University of Marche, Via Conca 71, 60126 Ancona, Italy.
Indian J Thorac Cardiovasc Surg. 2019 Jun;35(Suppl 2):87-91. doi: 10.1007/s12055-018-0669-4. Epub 2018 Apr 2.
Bentall operation via median sternotomy has been largely shown to be safe and long-term efficacious and currently represents the "gold standard" intervention in patients presenting with aortic valve and root disease. However, over the last years, minimally invasive techniques have gained wider clinical application in cardiac surgery. In particular, minimally invasive aortic valve replacement through ministernotomy has shown excellent outcomes and becomes the first choice approach in numerous experienced centers. Based on these favorable results, ministernotomy approach has also been proposed for complex cardiac procedures such as aortic root replacement and arch surgery. Herein, we present our technique for minimally invasive Bentall operation using a ministernotomy approach.
经正中胸骨切开术进行的Bentall手术在很大程度上已被证明是安全且长期有效的，目前是患有主动脉瓣和根部疾病患者的“金标准”干预措施。然而，在过去几年中，微创技术在心脏外科手术中得到了更广泛的临床应用。特别是，通过小切口胸骨切开术进行的微创主动脉瓣置换术已显示出优异的效果，并在众多经验丰富的中心成为首选方法。基于这些良好的结果，小切口胸骨切开术方法也被提议用于诸如主动脉根部置换和弓部手术等复杂心脏手术。在此，我们介绍使用小切口胸骨切开术方法进行微创Bentall手术的技术。
