Matsushima Shunsuke, Karliova Irem, Gauer Simon, Miyahara Shunsuke, Schäfers Hans-Joachim
Department of Thoracic and Cardiovascular Surgery, Saarland University Medical Center, Homburg, Saarland Germany.
Indian J Thorac Cardiovasc Surg. 2020 Jan;36(Suppl 1):64-70. doi: 10.1007/s12055-019-00813-2. Epub 2019 Apr 6.
The aortic valve is the functional unit of cusp and root. Various geometrical and functional analyses for the aortic valve unit have been executed to understand normal valve configuration and improve aortic valve repair. Different concepts and procedures have then been proposed for reparative approach, and aortic valve repair is still not standardized like mitral valve repair. It has become apparent, however, that interpretation of the geometry of the aortic cusp and root and its appropriate application to operative strategy lead to creating a functioning aortic valve. Herein, the aortic valve geometry and its clinical implications are reviewed to provide information for the selection of appropriate operative strategies.
主动脉瓣是瓣叶和瓣根的功能单位。为了解正常瓣膜结构并改进主动脉瓣修复，已对主动脉瓣单元进行了各种几何和功能分析。随后针对修复方法提出了不同的概念和程序，并且主动脉瓣修复仍不像二尖瓣修复那样标准化。然而，已经很明显的是，对主动脉瓣叶和瓣根的几何结构进行解读并将其适当地应用于手术策略，会促成一个功能正常的主动脉瓣的形成。在此，对主动脉瓣几何结构及其临床意义进行综述，以提供选择合适手术策略的信息。
