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主动脉内膜切除术:一种用于在条件恶劣的主动脉中进行主动脉瓣置换的有用技术。

Aortic endarterectomy: a useful technique to utilize for aortic valve replacements in hostile aorta.

作者信息

Valooran George Jose, Nair Shiv Kumar, Sebastian Rinett, Thomas Mary Smitha

机构信息

Department of Cardiothoracic Surgery, Rajagiri Hospital, Chunangamvely, Aluva, Kochi, Kerala 683112 India.

Cardiac Anaesthesia, Rajagiri Hospital, Chunangamvely, Aluva, Kochi, Kerala 683112 India.

出版信息

Indian J Thorac Cardiovasc Surg. 2021 Jan;37(1):78-81. doi: 10.1007/s12055-020-01014-y. Epub 2020 Aug 12.

Abstract

Calcified aorta poses a significant technical challenge in the performance of surgical aortic valve replacement (AVR). Aortic endarterectomy is a less utilized approach and is suitable in select cases for aortic decalcification during AVR. Here, we report a case of calcified ascending aorta who underwent ascending aortic endarterectomy and AVR with the technical details of the procedure.

摘要

钙化主动脉在实施外科主动脉瓣置换术(AVR)时带来了重大的技术挑战。主动脉内膜切除术是一种较少使用的方法,适用于AVR期间主动脉去钙化的特定病例。在此,我们报告一例升主动脉钙化患者,该患者接受了升主动脉内膜切除术和AVR,并介绍了该手术的技术细节。

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本文引用的文献

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Cerebrovascular Events After Transcatheter Aortic Valve Implantation.经导管主动脉瓣植入术后的脑血管事件
Front Cardiovasc Med. 2018 Jul 31;5:104. doi: 10.3389/fcvm.2018.00104. eCollection 2018.
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Strategy for Porcelain Ascending Aorta in Cardiac Surgery.心脏手术中瓷化升主动脉的处理策略
Ann Thorac Cardiovasc Surg. 2018 Apr 20;24(2):57-64. doi: 10.5761/atcs.ra.17-00181. Epub 2018 Mar 1.

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