Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Aarhus, Denmark.
J Cardiovasc Transl Res. 2023 Oct;16(5):1144-1152. doi: 10.1007/s12265-023-10393-7. Epub 2023 Jun 1.
An increasing body of research indicates that annular stability plays a key role for a successful aortic valve repair. The aim of this study was to evaluate and compare a novel open aortic annuloplasty ring (the A-ring) with the Dacron ring. Both rings were compared with native aortic roots in vitro. Eighteen aortic roots were included in the study and randomized into three groups: the native, Dacron, and A-ring group. The roots were evaluated in an in vitro physiologic pulsatile model simulating the left side of the heart. Aortic annulus diameters were significantly reduced both in the Dacron ring group (p = 0.003) and the A-ring group (p = 0.020) when compared with the native group. Both the Dacron ring and A-ring effectively downsized the aortic annulus diameter. The A-ring also displayed an ability to maintain aortic root distensibility during the cardiac cycle equally to the Dacron ring.
越来越多的研究表明,环形稳定性对于成功的主动脉瓣修复起着关键作用。本研究旨在评估和比较新型开放式主动脉瓣环成形环(A 环)与涤纶环。这两种环都与天然主动脉根部进行了体外比较。本研究纳入 18 个主动脉根部,并随机分为三组:天然组、涤纶组和 A 环组。根部在体外生理脉动模型中进行评估,模拟心脏左侧。与天然组相比,涤纶环组(p=0.003)和 A 环组(p=0.020)的主动脉瓣环直径明显减小。与涤纶环相比,A 环还能有效减小主动脉瓣环的直径。A 环在整个心动周期中维持主动脉根部扩张性的能力与涤纶环相当。