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连合部重建新技术:风湿性二尖瓣修复中的“船技术”

New Technique of Commissural Reconstruction: "Ship Technique" in Rheumatic Mitral Repairs.

作者信息

Shrivastava Shashwat, Shrivastava Shipra, Shrivastava Sandeep, Shrivastava Shitij

机构信息

Department of Cardiothoracic Surgery, New York University Langone Medical Center, New York, New York.

Department of Cardiothoracic Surgery, Medanta Super Specialty Hospital, Indore, Madhya Pradesh, India.

出版信息

Ann Thorac Surg Short Rep. 2024 Mar 22;2(3):354-357. doi: 10.1016/j.atssr.2024.02.013. eCollection 2024 Sep.

Abstract

The commissures are the supporting unit for the leaflets, and they play a vital role in the diastolic and systolic functioning of the mitral valve. This report describes the "ship technique" of commissural reconstruction in rheumatic mitral stenosis repairs. The technique overcomes gradients that are often encountered with limited commissurotomy and residual leaks observed with extended commissurotomy.

摘要

瓣叶联合处是瓣叶的支撑结构,在二尖瓣的舒张期和收缩期功能中起着至关重要的作用。本报告描述了风湿性二尖瓣狭窄修复术中瓣叶联合处重建的“船形技术”。该技术克服了有限的交界切开术常遇到的压差,以及广泛交界切开术观察到的残余反流。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1ca/11708493/186ba24f5113/gr1.jpg

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本文引用的文献

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Commentary: Repair or replace rheumatic mitral valves?
J Thorac Cardiovasc Surg. 2021 Jul;162(1):84-85. doi: 10.1016/j.jtcvs.2020.02.025. Epub 2020 Feb 14.

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