Ríos-Ortega Josías C, Sisniegas-Razón Josué, Yépez-Calderón Cristian, Dávila-Durand Manuel, Robles-Velarde Víctor, Talledo-Paredes Luisa, Aranda-Pretell Necemio
Departments of Cardiovascular Surgery and Cardiology, National Cardiovascular Institute, EsSalud, Lima, Peru.
Departments of Cardiovascular Surgery and Cardiology, National Cardiovascular Institute, EsSalud, Lima, Peru.
Ann Thorac Surg. 2023 Apr;115(4):e105-e107. doi: 10.1016/j.athoracsur.2022.03.048. Epub 2022 Apr 2.
Pulmonary valve (PV) surgical treatment is uncommon in adults; however, when it is indicated, replacement with a prosthesis is suggested. Nevertheless, mechanical prostheses have an inherent risk of complications derived from anticoagulation and thrombosis, and biologic prostheses do not have adequate long-term durability. In this context, PV reconstruction surgery emerges as an alternative, avoiding anticoagulation and promising good durability. We present our experience with this procedure in 3 patients with severe PV insufficiency and 1 patient with severe PV stenosis.
肺动脉瓣（PV）手术治疗在成人中并不常见；然而，当有指征时，建议使用假体进行置换。尽管如此，机械假体存在抗凝和血栓形成导致的并发症固有风险，而生物假体则没有足够的长期耐用性。在这种情况下，肺动脉瓣重建手术成为一种替代方案，可避免抗凝并有望实现良好的耐用性。我们介绍了我们对3例重度肺动脉瓣关闭不全患者和1例重度肺动脉瓣狭窄患者进行该手术的经验。
