观点。再次进行Bentall手术：管道的选择。
Perspective. Reoperative Bentall: choice of conduits.
作者信息
Serraino Giuseppe Filiberto, Zanobini Marco, Beghi Cesare, Maselli Daniele, Bashir Mohamad, Mastroroberto Pasquale, Mariscalco Giovanni
机构信息
Department of experimental and clinical medicine, University Magna Graecia of Catanzaro, Germaneto, Catanzaro Italy.
Cardiac Surgery Department, IRCCS Cardiologico Monzino, Milan, Italy.
出版信息
Indian J Thorac Cardiovasc Surg. 2019 Jun;35(Suppl 2):127-129. doi: 10.1007/s12055-017-0607-x. Epub 2017 Nov 13.
The Bentall procedure represents the gold standard in the treatment of patients requiring aortic root replacement. The most common indications for redo Bentall are structural degeneration or graft infection. Redo aortic root replacement can be performed with low perioperative morbidity and death. The choice of the best conduit is still up for debate but is mandatory to guarantee the best and most durable option for the patient. New options are available to reduce mortality in older or fragile patients and can modify the conduit choice.
Bentall手术是需要进行主动脉根部置换的患者治疗的金标准。再次进行Bentall手术最常见的指征是结构退变或移植物感染。再次进行主动脉根部置换手术可在较低的围手术期发病率和死亡率情况下完成。最佳管道的选择仍存在争议，但为患者保证最佳且最持久的选择是必要的。有新的方法可降低老年或体弱患者的死亡率，并且可以改变管道的选择。
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