Duran C M, Gallo R, Kumar N
Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
J Card Surg. 1995 Jan;10(1):1-9. doi: 10.1111/j.1540-8191.1995.tb00582.x.
The surgical technique of aortic valve replacement with freehand glutaraldehyde-treated autologous pericardium is described. Forty-nine patients underwent this procedure without hospital mortality and no thromboembolic episodes without anticoagulation. Three patients underwent reoperation: for infective endocarditis in two; and tear of one commissure 8 months after surgery in another. This technique because of its excellent hemodynamics and low thrombogenicity might be a valid alternative particularly in patients with a small aortic annulus.
描述了用徒手处理的戊二醛自体心包进行主动脉瓣置换的手术技术。49例患者接受了该手术，无住院死亡，未抗凝情况下无血栓栓塞事件发生。3例患者接受了再次手术：2例因感染性心内膜炎；另1例在术后8个月出现一个瓣叶撕裂。由于其良好的血流动力学和低血栓形成性，该技术可能是一种有效的替代方法，尤其适用于主动脉瓣环较小的患者。
