Pontchaillou Hospital Department of Thoracic and Cardiovascular Surgery Rennes France Department of Thoracic and Cardiovascular Surgery, Pontchaillou Hospital, Rennes, France.
Braz J Cardiovasc Surg. 2023 May 4;38(3):411-413. doi: 10.21470/1678-9741-2020-0674.
Surgery for endocarditis of the aorto-mitral continuity can be a challenge in case of extensive tissue destruction. We report two cases of a modified monobloc reconstruction of the aortic and mitral valves and of the aorto-mitral fibrous body. Two valve bioprostheses were sutured to each other and implanted as a composite graft. A pericardial patch sutured to the valves was employed to reconstruct both the noncoronary sinus and the left atrial roof. This technical adjustment allows adaptation to variable anatomical conditions in these particularly difficult cases.
主动脉瓣-二尖瓣连续处的心内膜炎的手术治疗在广泛组织破坏的情况下具有挑战性。我们报告了两例改良的主动脉瓣和二尖瓣以及主动脉瓣-二尖瓣纤维体的整块重建病例。两个瓣膜生物假体相互缝合，并作为复合移植物植入。心包补片缝合到瓣膜上，用于重建非冠状动脉窦和左心房顶。这种技术调整允许适应这些特别困难病例中的各种解剖条件。
