Department of Cardiac Surgery, European Hospital, Rome, Italy; Division of Cardiac Surgery, University Hospital "San Giovanni di Dio e Ruggi d'Aragona," Salerno, Italy.
Department of Cardiac Surgery, European Hospital, Rome, Italy.
Ann Thorac Surg. 2021 Oct;112(4):e303-e305. doi: 10.1016/j.athoracsur.2021.02.055. Epub 2021 Mar 6.
This report discusses the case of a patient with an aortic root aneurysm who had previously undergone aortic valve replacement with a large mechanical prosthesis that proved to be normally functioning at the time of reoperation. This report describes a technique of replacing the aortic root while retaining the existing aortic valve, similar to the completion Bentall procedure, using a 32-mm Valsalva graft by suturing the skirted portion of the graft to the sewing ring of the mechanical valve. The ability of the skirt to increase its diameter is the key to this approach.
本报告讨论了一位主动脉根部瘤患者的病例，该患者此前曾接受过主动脉瓣置换术，使用了一个大型机械假体，在再次手术时证明功能正常。本报告描述了一种在保留现有主动脉瓣的情况下置换主动脉根部的技术，类似于完成 Bentall 手术，使用 32 毫米的 Valsalva 移植物，通过将移植物的裙边部分缝合到机械瓣的缝合环上来完成。裙边增加直径的能力是这种方法的关键。
