联合心肌切除术与左心室流出道后扩术治疗弥漫性主动脉瓣下狭窄：一种改善病情的重建术？ - Suppr

Combined myectomy with posterior left ventricular outflow tract enlargement for diffuse subvalvular aortic stenosis: a disease-modifying reconstruction?

作者信息

Sett Kaung Sithu, Rachwalik Maciej, Obremska Marta, Uchmanowicz Izabella, Przybylski Roman

机构信息

Faculty of Medicine, Wroclaw Medical University, Wroclaw, Poland.

Department of Cardiac Surgery and Heart Transplantation, Institute of Heart Diseases, Faculty of Medicine, Wroclaw Medical University, Wroclaw, Poland.

出版信息

Arch Med Sci. 2024 Aug 27;20(5):1736-1739. doi: 10.5114/aoms/192403. eCollection 2024.

DOI:10.5114/aoms/192403

PMID:39649280

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11623145/

Abstract

摘要

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Combined myectomy with posterior left ventricular outflow tract enlargement for diffuse subvalvular aortic stenosis: a disease-modifying reconstruction?联合心肌切除术与左心室流出道后扩术治疗弥漫性主动脉瓣下狭窄：一种改善病情的重建术？

Arch Med Sci. 2024 Aug 27;20(5):1736-1739. doi: 10.5114/aoms/192403. eCollection 2024.

Dual-Chamber pacing for postoperative residual left ventricular gradient after aortic valve replacement and concomitant septal myectomy for severe aortic stenosis and subvalvular obstruction.双腔起搏用于主动脉瓣置换术后残余左心室梯度及重度主动脉瓣狭窄和瓣下梗阻的同期室间隔心肌切除术。

J Cardiol Cases. 2020 May 1;22(1):15-18. doi: 10.1016/j.jccase.2020.03.011. eCollection 2020 Jul.

Surgical treatment of recurrent subvalvular discrete membrane and left ventricular outflow tract stenosis in an adult patient with a history of congenital cardiac surgery.一名有先天性心脏手术史的成年患者复发性瓣下离散膜及左心室流出道狭窄的外科治疗

Echocardiography. 2023 Mar;40(3):279-284. doi: 10.1111/echo.15531. Epub 2023 Jan 31.

Asymptomatic double site of left ventricular outflow tract obstruction: subvalvular aortic stenosis associated with valvular aortic stenosis.无症状性左心室流出道双部位梗阻：瓣下主动脉瓣狭窄合并瓣膜性主动脉瓣狭窄。

Int J Cardiol. 2009 Mar 20;133(1):e30-2. doi: 10.1016/j.ijcard.2007.08.107. Epub 2007 Dec 21.

Long-term outcomes after surgical repair of subvalvular aortic stenosis in pediatric patients.小儿患者主动脉瓣下狭窄手术修复后的长期预后

Front Cardiovasc Med. 2022 Dec 2;9:1033312. doi: 10.3389/fcvm.2022.1033312. eCollection 2022.

Late results after operations for left ventricular outflow tract obstruction.左心室流出道梗阻手术后的远期结果。

Am J Cardiol. 1982 Sep;50(3):569-79. doi: 10.1016/0002-9149(82)90326-5.

Morphology of left ventricular outflow tract structures in patients with subaortic stenosis and a ventricular septal defect.主动脉瓣下狭窄合并室间隔缺损患者左心室流出道结构的形态学

Br Heart J. 1994 Sep;72(3):251-60. doi: 10.1136/hrt.72.3.251.

Selective management of the left ventricular outflow tract for repair of interrupted aortic arch with ventricular septal defect: management of left ventricular outflow tract obstruction.用于修复室间隔缺损合并主动脉弓中断的左心室流出道的选择性管理：左心室流出道梗阻的管理

J Thorac Cardiovasc Surg. 2006 Apr;131(4):779-84. doi: 10.1016/j.jtcvs.2005.11.038.

Concomitant Septal Myectomy with Aortic Valve Replacement for Severe Aortic Stenosis with Left Ventricular Outflow Tract Obstruction.同期行间隔心肌切除术与主动脉瓣置换术治疗伴有左心室流出道梗阻的严重主动脉瓣狭窄

Juntendo Iji Zasshi. 2023 May 20;69(3):203-215. doi: 10.14789/jmj.JMJ22-0036-OA. eCollection 2023.

Third sternotomy with modified Bentall/Konno procedure for recurrent multilevel left ventricular outflow tract obstruction in a 15-year-old.15 岁患者因复发性多水平左心室流出道梗阻行第三次胸骨正中切开及改良 Bentall/Konno 手术。

Multimed Man Cardiothorac Surg. 2024 Sep 9;2024. doi: 10.1510/mmcts.2024.079.

本文引用的文献

Late Outcomes of Konno-Rastan and Modified Konno for Left Ventricular Outflow Tract Obstruction.Konno-Rastan 和改良 Konno 术治疗左心室流出道梗阻的远期疗效。

Ann Thorac Surg. 2024 May;117(5):973-981. doi: 10.1016/j.athoracsur.2023.07.002. Epub 2023 Jul 20.

The Commando procedure for pediatric patients: A case series.小儿患者的突击手术程序：病例系列

JTCVS Tech. 2023 Mar 22;19:104-108. doi: 10.1016/j.xjtc.2023.03.008. eCollection 2023 Jun.

Long-term follow-up of subvalvular aortic stenosis in children: a single-centre experience.

Cardiol Young. 2022 Jun;32(6):980-987. doi: 10.1017/S1047951121004686. Epub 2021 Nov 29.

Management of Complex Left Ventricular Outflow Tract Obstruction: A Comparison of Konno and Modified Konno Techniques.复杂左心室流出道梗阻的管理：Konno术式与改良Konno术式的比较

Pediatr Cardiol. 2021 Mar;42(3):614-627. doi: 10.1007/s00246-020-02522-9. Epub 2021 Feb 8.

The Konno Operation Is a Durable Option for Relief of Aortic Stenosis in Patients With Complex Left Ventricular Outflow Tract Obstruction-A Single-Center 20-Year Experience.对于患有复杂左心室流出道梗阻的主动脉瓣狭窄患者，Konno手术是缓解症状的一种持久有效的选择——单中心20年经验。

World J Pediatr Congenit Heart Surg. 2019 Nov;10(6):678-685. doi: 10.1177/2150135119872476.

Modified Konno procedure: surgical management of tunnel-like left ventricular outflow tract stenosis.改良Konno手术：隧道样左心室流出道狭窄的外科治疗

Gen Thorac Cardiovasc Surg. 2014 Jan;62(1):3-8. doi: 10.1007/s11748-013-0247-z. Epub 2013 May 1.

Risk factors for reoperation after repair of discrete subaortic stenosis in children.儿童局限性主动脉瓣下狭窄修复术后再次手术的危险因素。

J Am Coll Cardiol. 2007 Oct 9;50(15):1498-504. doi: 10.1016/j.jacc.2007.07.013. Epub 2007 Sep 24.

Left ventricular outflow obstruction: subaortic stenosis, bicuspid aortic valve, supravalvar aortic stenosis, and coarctation of the aorta.左心室流出道梗阻：主动脉瓣下狭窄、二叶式主动脉瓣、主动脉瓣上狭窄及主动脉缩窄。

Circulation. 2006 Nov 28;114(22):2412-22. doi: 10.1161/CIRCULATIONAHA.105.592089.

Left ventricular outflow tract obstruction: the role of the modified Konno procedure.

Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2003;6:98-107. doi: 10.1053/pcsu.2003.50004.

The modified Konno procedure for complex left ventricular outflow tract obstruction.用于复杂左心室流出道梗阻的改良Konno手术

Ann Thorac Surg. 2003 Jan;75(1):147-51; discussion 151-2. doi: 10.1016/s0003-4975(02)03985-1.

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Combined myectomy with posterior left ventricular outflow tract enlargement for diffuse subvalvular aortic stenosis: a disease-modifying reconstruction?

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