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主动脉根部发育不全。主动脉瓣置换问题。

Hypoplasia of the aortic root. The problem of aortic valve replacement.

作者信息

Nicks R, Cartmill T, Bernstein L

出版信息

Thorax. 1970 May;25(3):339-46. doi: 10.1136/thx.25.3.339.

DOI:10.1136/thx.25.3.339
PMID:5452289
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC472719/
Abstract

We report a technique for the enlargement of a hypoplastic aortic root by an operation whereby the hypoplastic aortic root has been so enlarged by the insertion of a Dacron fabric gusset that it will accommodate a size 9A or larger Starr-Edwards prosthesis. Our experience in five patients is described. No matter what type of valve is used for replacement of a diseased aortic valve, and no matter what improved designs of valvular prosthesis are ultimately developed, it will be necessary (in the particular group described) to enlarge the aortic ring to accommodate a size which will function correctly without causing left ventricular outflow obstruction.

摘要

我们报告一种通过手术扩大发育不全主动脉根部的技术，即通过插入涤纶织物角撑板使发育不全的主动脉根部得以扩大，从而能够容纳9A号或更大尺寸的斯塔尔-爱德华兹人工瓣膜。文中描述了我们对5例患者的经验。无论使用何种类型的瓣膜来置换病变的主动脉瓣，也无论最终开发出何种改进设计的人工瓣膜，（在所描述的特定患者群体中）都有必要扩大主动脉环，以容纳一个能正常发挥功能且不会导致左心室流出道梗阻的尺寸。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/472719/860d27c4dcc3/thorax00111-0087-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/472719/90fca777f3c3/thorax00111-0082-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/472719/e0f357f5103c/thorax00111-0086-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/472719/f7080a5a2e40/thorax00111-0086-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/472719/06cd572bfc21/thorax00111-0081-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/472719/fe7d1b67397a/thorax00111-0083-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/472719/39a8de4a8e7c/thorax00111-0083-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/472719/68f6eb54f51a/thorax00111-0084-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/472719/dc288f839859/thorax00111-0085-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/472719/860d27c4dcc3/thorax00111-0087-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/472719/90fca777f3c3/thorax00111-0082-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/472719/e0f357f5103c/thorax00111-0086-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/472719/f7080a5a2e40/thorax00111-0086-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/472719/06cd572bfc21/thorax00111-0081-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/472719/fe7d1b67397a/thorax00111-0083-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/472719/39a8de4a8e7c/thorax00111-0083-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/472719/68f6eb54f51a/thorax00111-0084-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/472719/dc288f839859/thorax00111-0085-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2968/472719/860d27c4dcc3/thorax00111-0087-a.jpg

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Y Incision and Roof Technique for Aortic Root Enlargement: A Minimally Invasive Approach.
主动脉根部扩大的Y形切口及顶部技术：一种微创方法。
Ann Thorac Surg Short Rep. 2023 Jun 7;1(3):422-425. doi: 10.1016/j.atssr.2023.05.007. eCollection 2023 Sep.
4
A New Technique for Aortic Annular and Outflow Enlargement: Combined Y-Incision and Nicks Procedures.一种用于主动脉瓣环及流出道扩大的新技术：联合Y形切口与刻痕术。
Ann Thorac Surg Short Rep. 2024 Apr 27;2(4):799-803. doi: 10.1016/j.atssr.2024.04.011. eCollection 2024 Dec.
5
Changes in aortic root dimensions post aortic root enlargement with Y-incision and modified aortotomy.采用Y形切口和改良主动脉切开术进行主动脉根部扩大术后主动脉根部尺寸的变化。
Ann Cardiothorac Surg. 2024 May 31;13(3):266-274. doi: 10.21037/acs-2024-aae-0042. Epub 2024 May 14.
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Modified-Manougian aortic root enlargement.改良马努吉安主动脉根部扩大术。
Ann Cardiothorac Surg. 2024 May 31;13(3):306-307. doi: 10.21037/acs-2023-aae-0153. Epub 2024 May 15.
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Comparison of the short-term outcomes between Y-incision aortic annular enlargement and traditional aortic annular enlargement techniques.Y形切口主动脉瓣环扩大术与传统主动脉瓣环扩大术短期疗效的比较。
Ann Cardiothorac Surg. 2024 May 31;13(3):255-265. doi: 10.21037/acs-2023-aae-0102. Epub 2024 Jan 12.
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Early and mid-term outcomes of aortic annular enlargement: a systematic review and meta-analysis.主动脉瓣环扩大术的早期和中期结果：一项系统评价和荟萃分析。
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