Department of Cardiovascular Surgery, Osaka General Medical Center, Osaka, Japan.
Interact Cardiovasc Thorac Surg. 2022 May 2;34(5):921-923. doi: 10.1093/icvts/ivab361.
A 50-year-old man who required aortic valve replacement (AVR) 3 times for severe paravalvular leakage (PVL) was diagnosed with a recurrence of severe PVL. Since the PVL recurred each time because of prosthetic valve detachment from the annulus, a fourth AVR was performed using a self-expanding sutureless valve. Postoperative echocardiography showed no significant PVL. The patient was discharged without any complications and returned to normal work soon after. In cases such as our patient, sutureless AVR could be a powerful alternative to conventional AVR.
一位 50 岁男性因严重瓣周漏（PVL）已行 3 次主动脉瓣置换术（AVR），此次因严重 PVL 复发而就诊。由于每次 PVL 复发均因瓣环处人工瓣膜瓣叶从瓣环上脱落导致，故进行了第四次 AVR，使用了自膨式无缝线瓣膜。术后超声心动图显示无明显 PVL。患者无并发症出院，不久后恢复正常工作。对于像我们患者这样的病例，无缝线 AVR 可能是传统 AVR 的有力替代方案。
