Kumar A S, Rao P N, Dharmapuram A K, Chander H, Trehan H
Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, Ansari Nagar, New Delhi.
Tex Heart Inst J. 1995;22(2):177-9.
Aortic valve replacement with a pulmonary autograft was performed in 24 patients between October 1993 and October 1994, at the All India Institute of Medical Sciences, New Delhi. There were 20 (83.3%) males and 4 (16.7%) females. Their ages ranged from 10 to 56 years (mean, 21.46 +/- 11.45 years). Associated procedures included 10 mitral valve procedures (4 open commissurotomies, 5 mitral valve repairs, and 1 homograft mitral valve replacement) and 1 tricuspid valve repair. There were 4 (16.7%) early deaths, 3 of which were due to bleeding or its sequelae and 1 due to septicemia. There were no late deaths. Follow-up ranged from 1 to 13 months (mean, 198.3 +/- 111.1 days). Nineteen (95%) patients are in New York Heart Association functional class I, and 1 patient (5%) is in class II, due to poor left ventricular function. Only 1 patient showed grade 2/4 aortic regurgitation on follow-up examinations, and none has shown progression of aortic regurgitation. Our early results with the pulmonary autograft are encouraging; however, long-term evaluation is needed.
1993年10月至1994年10月期间，在新德里全印度医学科学研究所，对24例患者实施了肺动脉自体移植主动脉瓣置换术。其中男性20例（83.3%），女性4例（16.7%）。年龄范围为10至56岁（平均21.46±11.45岁）。相关手术包括10例二尖瓣手术（4例开放式交界切开术、5例二尖瓣修复术和1例同种异体二尖瓣置换术）以及1例三尖瓣修复术。早期死亡4例（16.7%），其中3例死于出血或其并发症，1例死于败血症。无晚期死亡病例。随访时间为1至13个月（平均198.3±111.1天）。19例（95%）患者纽约心脏协会心功能分级为I级，1例（5%）患者因左心室功能差为II级。随访检查中仅1例患者出现2/4级主动脉瓣反流，且无主动脉瓣反流进展情况。我们使用肺动脉自体移植的早期结果令人鼓舞；然而，仍需要进行长期评估。
