马凡综合征患者经房间隔沟-左房顶部入路行二尖瓣环成形术。
Mitral annuloplasty with the interatrial groove-left atrial dome approach in a patient with Marfan syndrome.
机构信息
Department of Vascular Surgery, Fuwai Hospital Chinese Academy of Medical Sciences, Shenzhen, China.
Departments of Cardiovascular Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, China.
出版信息
J Cardiothorac Surg. 2022 Nov 19;17(1):293. doi: 10.1186/s13019-022-02031-1.
BACKGROUND
The choice of mitral valve surgical approach has always been a difficult problem in patients with small left atrium.
CASE PRESENTATION
We report a case of a patient with Marfan syndrome who underwent the David operation and mitral annuloplasty. The patient had a small left atrium, so we severed the superior vena cava and opened the interatrial groove and left atrial dome. This method allows for excellent exposure of the mitral valve and subvalvular apparatus, enabling a successful operation.
CONCLUSION
The interatrial groove-left atrial dome approach provides an option for patients with a small left atrium undergoing mitral valve surgery.
背景
对于左心房较小的患者，二尖瓣手术入路的选择一直是一个难题。
病例介绍
我们报告了 1 例马凡综合征患者行 David 手术和二尖瓣环成形术的病例。患者左心房较小，因此我们切断上腔静脉，打开房间隔沟和左心房顶部。该方法可提供极佳的二尖瓣和瓣下装置显露，使手术顺利进行。
结论
房间隔沟-左心房顶部入路为左心房较小的二尖瓣手术患者提供了一种选择。
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