Department of Cardiac Surgery, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
J Card Surg. 2021 Jun;36(6):2153-2155. doi: 10.1111/jocs.15473. Epub 2021 Mar 8.
There are a significant number of symptomatic aortic stenosis (AS) patients not referred to the traditional methods for some complex conditions. We described a case of a 61-year-old female with severe symptomatic AS, calcific small aortic annulus (16.6 mm), narrow porcelain ascending aorta (aortic root: 14.6 mm, internal diameter: 14.0 mm), chronic renal insufficiency, and a history of the previous sternotomy for mechanical mitral valve replacement and coronary artery bypass grafting who underwent aortic valve bypass (AVB) with favorable results. AVB has been proposed as a complementary to surgery operation of aortic valve replacement and transcatheter aortic valve implantation in high-risk AS patients.
有相当数量的有症状的主动脉瓣狭窄（AS）患者由于某些复杂情况而未被纳入传统治疗方法。我们描述了一例 61 岁女性患者，她患有严重的有症状的 AS、钙化性小主动脉瓣环（16.6mm）、狭窄的瓷质升主动脉（主动脉根部：14.6mm，内径：14.0mm）、慢性肾功能不全，以及先前因机械二尖瓣置换术和冠状动脉旁路移植术而行胸骨切开术的病史，她接受了主动脉瓣旁路（AVB）手术，效果良好。AVB 已被提议作为高危 AS 患者主动脉瓣置换和经导管主动脉瓣植入术的手术补充。
