Matsumoto Yorihiko, Yamazaki Masataka, Hashimoto Takashi, Murata Satoru, Yamashita Kentaro, Takahashi Tatsuo, Kimura Naritaka, Ito Tsutomu, Shimizu Hideyuki
Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan.
Ann Thorac Surg Short Rep. 2023 Jun 7;1(3):422-425. doi: 10.1016/j.atssr.2023.05.007. eCollection 2023 Sep.
The Y incision and roof technique for aortic valve replacement enable implantation of a large prosthetic valve and extensive enlargement of the sinotubular junction. Surgeons have been reluctant to adopt a minimally invasive approach for this procedure because of its complexity and risk. The Stonehenge technique was designed to achieve an ideal surgical view of the aortic root through a small right thoracotomy. Herein, we report implementing a Y incision and roof technique for aortic valve replacement through a minimally invasive approach facilitated by the Stonehenge technique.
用于主动脉瓣置换的Y形切口和瓣上技术能够植入大型人工瓣膜并广泛扩大窦管交界。由于该手术的复杂性和风险，外科医生一直不愿采用微创方法。巨石阵技术旨在通过小切口右胸切开术获得主动脉根部的理想手术视野。在此，我们报告通过巨石阵技术辅助的微创方法实施用于主动脉瓣置换的Y形切口和瓣上技术。
