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环形重塑合并心包加固:手术技术及早期结果

Annular remodelling with pericardial reinforcement: surgical technique and early results.

作者信息

Salati M, Scrofani R, Santoli C

机构信息

Thoracic and Cardiovascular Surgery Division, Ospedale L Sacco, Milan, Italy.

出版信息

J Heart Valve Dis. 1993 Nov;2(6):639-41.

PMID:7719503
Abstract

Of 127 consecutive patients who underwent surgical repair of degenerative mitral valve incompetence between 1986 and 1992, 55 received posterior annuloplasty reinforced by an autologous pericardial tube. All patients had echocardiographic assessment before surgery and at discharge from hospital. There was one hospital death (0.78%) and one patient (0.79%) required early reoperation because of suture dehiscence. Postoperative fluoroscopy and echocardiography ascertained excellent relieve of the mitral regurgitation without any distortion of the annulus. It is concluded that early results with autologous pericardial annuloplasty are very promising, and a prospective follow up study is underway to assess mid to long term results.

摘要

在1986年至1992年间接受退行性二尖瓣反流手术修复的127例连续患者中,55例接受了自体心包管加固的后瓣环成形术。所有患者在手术前和出院时均接受了超声心动图评估。有1例医院死亡(0.78%),1例患者(0.79%)因缝线裂开需要早期再次手术。术后荧光透视和超声心动图显示二尖瓣反流得到了极好的缓解,瓣环没有任何变形。得出的结论是,自体心包瓣环成形术的早期结果非常有前景,一项评估中长期结果的前瞻性随访研究正在进行中。

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