Singh Harkant, Halder Vikram, Sangdup Tsering, Aggarwal Hiteshi, Bansal Vidur
Department of Cardiothoracic and Vascular Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Department of Anesthesia, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Thorac Cardiovasc Surg. 2023 May;39(3):282-285. doi: 10.1007/s12055-022-01469-1. Epub 2023 Jan 28.
Pulmonary valve interventions are one of the most common cardiac interventions that are being performed in patients with a wide variety of congenital heart diseases, more so in adults with congenital heart disease. Despite the introduction of various different reconstructive techniques and conduits, the ideal option still remains elusive. Lack of growth and re-operation for conduit replacement remains an Achilles heel in such conduits. So, surgeons have constantly tried to evolve surgical techniques that would obviate their use and allow age-related growth. The Ozaki procedure has proven to be technically reproducible and have excellent mid-term results in the aortic position in adults. Extending the same principle for reconstruction of the pulmonary valve can prove to be a reasonable alternative.
The online version contains supplementary material available at 10.1007/s12055-022-01469-1.
肺动脉瓣干预是针对患有多种先天性心脏病患者进行的最常见心脏干预措施之一，在先天性心脏病成人患者中更为常见。尽管引入了各种不同的重建技术和管道，但理想的选择仍然难以捉摸。管道缺乏生长以及因管道置换而再次手术仍然是此类管道的致命弱点。因此，外科医生一直在不断尝试改进手术技术，以避免使用这些管道并允许与年龄相关的生长。奥崎手术已被证明在技术上具有可重复性，并且在成人主动脉位置具有出色的中期效果。将相同的原理扩展到肺动脉瓣重建可能是一种合理的替代方案。
在线版本包含可在10.1007/s12055-022-01469-1获取的补充材料。
