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年轻患者使用 Björk-Shiley 人工心脏瓣膜进行心脏瓣膜置换术。

Cardiac valve replacement with the Björk-Shiley prosthesis in young patients.

作者信息

Rufilanchas J J, Juffe A, Miranda A L, Tellez G, Agosti J, Maroñas J M, Figuera D

出版信息

Scand J Thorac Cardiovasc Surg. 1977;11(1):11-4. doi: 10.3109/14017437709167807.

DOI:10.3109/14017437709167807
PMID:847417
Abstract

Between 1971 and 1974, 26 valve replacements with the Björk-Shiley tilting disc valve prosthesis were performed in 23 children between 4 and 16 years of age. Mitral valve replacement was carried out in 11 patients, aortic valve replacement in 9 and double replacement in the other 3 patients. Several of the patients presented associated lesions which were also corrected at the same intervention, One patient died during the postoperative period; the remaining 22 all showed significant clinical remission. No incidents of thromboembolism or complications of any other nature were observed during follow-up periods of 6 to 26 months. It is our belief that the Björk-Shiley valve represents an improvement over other prostheses currently used for the surgical correction of valve disease in children.

摘要

1971年至1974年间,对23名4至16岁的儿童进行了26次使用Björk-Shiley倾斜盘式瓣膜假体的瓣膜置换手术。11例患者进行了二尖瓣置换,9例进行了主动脉瓣置换,另外3例进行了双瓣膜置换。部分患者还伴有其他病变,在同一次手术中也进行了矫正。1例患者在术后死亡;其余22例均有明显的临床缓解。在6至26个月的随访期内,未观察到血栓栓塞事件或任何其他性质的并发症。我们认为,Björk-Shiley瓣膜比目前用于儿童瓣膜疾病手术矫正的其他假体有所改进。

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