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使用刚性金属环中的异种移植主动脉瓣进行实验性二尖瓣置换术。

Experimental mitral valve replacement with a heterograft aortic valve in a rigid metal ring.

作者信息

Proctor E

出版信息

Thorax. 1968 Jul;23(4):331-7. doi: 10.1136/thx.23.4.331.

DOI:10.1136/thx.23.4.331
PMID:5664693
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC471798/
Abstract

A mitral valve replacement is described in which a heterograft (pig) aortic valve is supported in a rigid metal ring having three spurs to support the commissures. The ring frame is completely covered by the heterograft, and no artificial material is in contact with the blood stream. Completely fabricated and tested for competency beforehand, it requires only one row of interrupted sutures—after the manner of the Starr-Edwards prosthesis—for insertion, and can be used in either the mitral or the aortic position. Experimental results in the dog indicate that the valve may require only temporary anticoagulation to cover the immediate post-operative period.

摘要

本文描述了一种二尖瓣置换术,其中异种移植(猪)主动脉瓣被支撑在一个带有三个用于支撑瓣叶交接处的支脚的刚性金属环中。环架完全被异种移植组织覆盖,没有人造材料与血流接触。该瓣膜预先完全制造并经过功能测试,植入时只需要一排间断缝合线——类似于斯塔尔-爱德华兹人工瓣膜——并且可用于二尖瓣或主动脉瓣位置。在狗身上的实验结果表明,该瓣膜可能仅需在术后即刻进行短期抗凝。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e5c/471798/edde160cc865/thorax00100-0006-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e5c/471798/6b276f3485bb/thorax00100-0005-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e5c/471798/aaca42bef982/thorax00100-0002-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e5c/471798/a395eb871fe0/thorax00100-0004-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e5c/471798/edde160cc865/thorax00100-0006-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e5c/471798/6b276f3485bb/thorax00100-0005-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e5c/471798/aaca42bef982/thorax00100-0002-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e5c/471798/a395eb871fe0/thorax00100-0004-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e5c/471798/edde160cc865/thorax00100-0006-a.jpg

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引用本文的文献

1
Mitral valve replacement by calf aortic heterograft and its clinical evaluation.
Langenbecks Arch Chir. 1971;328(2):115-27. doi: 10.1007/BF01877665.

本文引用的文献

1
Homograft replacement of the aortic valve.主动脉瓣同种异体移植置换术。
Lancet. 1962 Sep 8;2(7254):487. doi: 10.1016/s0140-6736(62)90345-8.
2
Total excision of the mitral valve and replacement with the autologous pulmonic valve.二尖瓣完全切除并置换为自体肺动脉瓣。
J Thorac Cardiovasc Surg. 1961 Nov;42:696-702.
3
HETEROLOGOUS AORTIC-VALVE TRANSPLANTATION IN THE DOG.
Lancet. 1965 Jul 17;2(7403):114-5. doi: 10.1016/s0140-6736(65)92227-0.
4
MEDICAL PROBLEMS IN MITRAL AND MULTIPLE VALVE REPLACEMENT.二尖瓣及多瓣膜置换术中的医学问题
Prog Cardiovasc Dis. 1965 May;7:504-30. doi: 10.1016/s0033-0620(65)80031-7.
5
COMPLICATIONS OF STARR-EDWARDS MITRAL VALVE REPLACEMENT.
J Thorac Cardiovasc Surg. 1965 May;49:731-8.
6
TOTAL MITRAL VALVE REPLACEMENT: LATE RESULTS.二尖瓣全置换术:远期结果
J Thorac Cardiovasc Surg. 1964 Oct;48:625-34.
7
HOMOGRAFT AORTIC VALVE REPLACEMENT IN AORTIC INCOMPETENCE AND STENOSIS.同种异体主动脉瓣置换术治疗主动脉瓣关闭不全和狭窄
Thorax. 1964 Mar;19(2):131-50. doi: 10.1136/thx.19.2.131.
8
REPLACEMENT OF THE DOG MITRAL VALVE WITH A HOMOGRAFT.
Surg Forum. 1963;14:247-8.
9
THE HOMOLOGOUS BLOOD SYNDROME. III. INFLUENCE OF PLASMA, BUFFY COAT AND RED CELLS IN PROVOKING ITS MANIFESTATIONS.
Am J Cardiol. 1963 Aug;12:194-202. doi: 10.1016/0002-9149(63)90309-6.
10
Replacement of the mitral valve with an aortic valve homograft implanted into the left atrium.
J Thorac Cardiovasc Surg. 1967 Feb;53(2):260-7.