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一种用于连续性主动脉瓣环和选择性主动脉瓣窦心内膜炎的定制技术。

A customized technique for confluent aortic annular and selective sinus of Valsalva endocarditis.

作者信息

Barua Anupama, Nanjaiah Prakash, Warwick Richard, Jeeji Ravish, Balacumaraswami Lognathen

机构信息

Department of Cardiothoracic Surgery, University Hospitals North Midlands NHS Trust, Stoke-on-Trent, Staffordshire ST4 6QG, United Kingdom.

Department of Cardiothoracic Anaesthesia, University Hospitals North Midlands NHS Trust, Staffordshire, United Kingdom.

出版信息

J Surg Case Rep. 2024 Feb 23;2024(2):rjae089. doi: 10.1093/jscr/rjae089. eCollection 2024 Feb.

DOI:10.1093/jscr/rjae089
PMID:38404448
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10894697/
Abstract

We describe a novel technical modification for reoperative aortic valve replacement in destructive recurrent prosthetic aortic valve endocarditis. We encountered complex anatomy in a previously operated aortic root wherein the aortic annulus and the right coronary sinus of Valsalva were destroyed. This precluded secure suture placement. We modified a composite mechanical Valsalva conduit to create a separate sinus of Valsalva left in continuity with the mechanical valve. This approach allowed us to exclude the infected right sinus of Valsalva and the corresponding aortic annulus.

摘要

我们描述了一种用于再次手术主动脉瓣置换术治疗破坏性复发性人工主动脉瓣心内膜炎的新型技术改良。我们在先前接受过手术的主动脉根部遇到了复杂的解剖结构，其中主动脉瓣环和瓦尔萨尔瓦右冠状动脉窦遭到破坏。这使得无法安全地放置缝线。我们对复合机械性瓦尔萨尔瓦导管进行了改良，以创建一个与机械瓣膜保持连续的单独的瓦尔萨尔瓦窦。这种方法使我们能够排除受感染的瓦尔萨尔瓦右窦和相应的主动脉瓣环。

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本文引用的文献

1
Surgical outcomes and optimal approach to treatment of aortic valve endocarditis with aortic root abscess.主动脉根部脓肿合并主动脉瓣心内膜炎的手术治疗效果及最佳治疗方法。
J Card Surg. 2022 Jul;37(7):1917-1925. doi: 10.1111/jocs.16464. Epub 2022 Apr 5.
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Surgery for Aortic Root Abscess: A 15-Year Experience.主动脉根部脓肿的手术治疗：15年经验
Tex Heart Inst J. 2016 Feb 1;43(1):20-8. doi: 10.14503/THIJ-14-4747. eCollection 2016 Feb.
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A rare case of sinus of valsalva-right atrial fistula secondary to an abscess perforation from underlying aortic valve endocarditis.1例罕见的因潜在主动脉瓣心内膜炎脓肿穿孔继发的瓦氏窦-右心房瘘。
J Cardiothorac Surg. 2014 Jul 14;9:124. doi: 10.1186/1749-8090-9-124.
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Prosthetic valve endocarditis.人工瓣膜心内膜炎。
J Cardiovasc Med (Hagerstown). 2010 Dec;11(12):869-83. doi: 10.2459/JCM.0b013e328336ec9a.
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Prosthetic valve endocarditis: early and late outcome following medical or surgical treatment.人工瓣膜心内膜炎：药物治疗或手术治疗后的早期及晚期转归
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