Emery R W, Landes R G, Moller J H, Nicoloff D M
Ann Thorac Surg. 1979 Feb;27(2):148-53. doi: 10.1016/s0003-4975(10)63258-4.
Pulmonary valve replacement is an uncommon surgical procedure, yet lifesaving when performed under the appropriate circumstances. The patient reported on here had the classic indications for valve replacement: increased pulmonary vascular resistance and associated pulmonary valve incompetence following repair of a congenital heart defect resulting in right heart failure and secondary tricuspid insufficiency. A review of the literature provides the basis for the decision to replace the pulmonary valve with a glutaraldehyde-preserved porcine heterograft.
肺动脉瓣置换术是一种不常见的外科手术，但在适当情况下进行时可挽救生命。本文报道的患者具有瓣膜置换的典型指征：先天性心脏缺陷修复后肺血管阻力增加及相关肺动脉瓣关闭不全，导致右心衰竭和继发性三尖瓣关闭不全。文献回顾为使用戊二醛保存的猪异种移植物置换肺动脉瓣的决定提供了依据。
