Yajima Shin, Sakashita Yuji, Sekiya Naosumi, Sakaguchi Taichi
Department of Cardiovascular Surgery, Hyogo College of Medicine, 1-1 Mukogawa-cho, Nishinomiya City, Hyogo, Japan.
Eur J Cardiothorac Surg. 2022 Aug 3;62(3). doi: 10.1093/ejcts/ezac405.
Our goal was to describe a novel technique for reconstructing the aortomitral curtain using autologous tissue. This technique was performed on a patient who required replacement of both the aortic and mitral valves and the aortic root due to recurrent prosthetic valve infection and aortic root abscess. The aortomitral curtain was reconstructed without using any artificial patches. Instead, surrounding autologous tissues were used, including the residual healthy left atrial and aortic basal tissues. This patch-sparing technique may occasionally be feasible to perform and may serve as a secure anchor for subsequent aortic root replacement.
我们的目标是描述一种使用自体组织重建主动脉二尖瓣间隔的新技术。该技术应用于一名因人工瓣膜反复感染和主动脉根部脓肿而需要同时置换主动脉瓣、二尖瓣和主动脉根部的患者。在重建主动脉二尖瓣间隔时未使用任何人工补片。取而代之的是使用周围的自体组织，包括残留的健康左心房和主动脉基部组织。这种不使用补片的技术偶尔可能可行，并且可为后续的主动脉根部置换提供可靠的固定点。
