Nishikawa Hiroshi, Niwa Kosuke, Ueda Daisuke, Yamashita Keigo
Department of Cardiovascular Surgery, Iseikai Hospital, Osaka, Japan.
Kyobu Geka. 2022 Aug;75(8):634-637.
Transcatheter aortic valve replacement has increasingly been used as a standard treatment option for patients with aortic valve stenosis, especially in the frail and the elderly. However, it is not recognized as a valid treatment for patients with aortic valve regurgitation. In this study, we report our experience in conducting a right anterior minithoracotomy for a minimally invasive aortic valve replacement in the elderly. An 87-year-old woman with severe aortic valve regurgitation was admitted to our department. Minimally invasive aortic valve replacement was performed, through a right anterior minithoracotomy in the second intercostal space. A localized transverse aortotomy was performed at a position higher than that in an ordinary aortotomy. Our procedure for aortic valve replacement was similar to the conventional method. The postoperative course was uneventful, and the patient was discharged after 10 days. Therefore, we conclude that right anterior minithoracotomy for a minimally invasive aortic valve replacement is a feasible, effective, and safe technique.
经导管主动脉瓣置换术越来越多地被用作主动脉瓣狭窄患者的标准治疗选择，尤其是在体弱和老年患者中。然而，它并未被认为是主动脉瓣反流患者的有效治疗方法。在本研究中，我们报告了我们在为老年患者进行右前小切口微创主动脉瓣置换术方面的经验。一名87岁重度主动脉瓣反流女性入住我科。通过第二肋间间隙的右前小切口进行了微创主动脉瓣置换术。在高于普通主动脉切开术的位置进行了局部横向主动脉切开术。我们的主动脉瓣置换手术方法与传统方法相似。术后过程顺利，患者在10天后出院。因此，我们得出结论，右前小切口微创主动脉瓣置换术是一种可行、有效且安全的技术。
