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极度狭小主动脉瓣环中行 Ozaki 手术加主动脉瓣环扩大术：一项极具挑战性的外科手术。

Ozaki Procedure Plus Aortic Annular Enlargement in an Extremely Narrow Aortic Annulus: A Surgical Challenge.

机构信息

MINSA, National Hospital Hipolito Unanue, Cardiovascular Surgery Department, Lima, Peru.

EsSalud, National Cardiovascular Institute, Cardiovascular Surgery Department, Lima, Peru.

出版信息

Innovations (Phila). 2023 Jul-Aug;18(4):387-389. doi: 10.1177/15569845231190853. Epub 2023 Aug 8.

DOI:10.1177/15569845231190853
PMID:37551690
Abstract

We report a 19-year-old woman with a history of percutaneous aortic valve (AV) balloon valvuloplasty 3 years ago. She was admitted with severe symptomatic AV stenosis with narrow aortic annulus. We decided to perform AV reconstruction with autologous pericardium. However, surgical findings revealed a very narrow AV annulus with a unicuspid valve; therefore, an AV enlargement was added.

摘要

我们报告了一例 19 岁女性患者，3 年前曾行经皮主动脉瓣（AV）球囊瓣膜成形术。她因严重的症状性 AV 狭窄伴主动脉瓣环狭窄入院。我们决定使用自体心包进行 AV 重建。然而，手术发现主动脉瓣环非常狭窄，呈单瓣叶；因此，我们增加了 AV 扩张术。

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