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“补片-胶水”环周重建术用于严重钙化二尖瓣环的二尖瓣置换术

"Patch-glue" annular reconstruction for mitral valve replacement in severely calcified mitral annulus.

作者信息

Ruvolo G, Speziale G, Voci P, Marino B

机构信息

Institute of Cardiac Surgery, La Sapienza University of Rome, Italy.

出版信息

Ann Thorac Surg. 1997 Feb;63(2):570-1. doi: 10.1016/s0003-4975(96)01025-9.

Abstract

Mitral valve replacement in severe annular calcification may be complicated by atrioventricular rupture, left circumflex coronary artery injury, and thromboembolic events. Mitral valve replacement was performed in 2 patients with massive annular calcification, by suturing a Tissucol fibrin glue-treated Teflon patch on the posterolateral atrial wall. After 30 and 34 months, respectively, the valve was normally functioning and the patients were asymptomatic and free from hemorrhagic and thromboembolic events.

摘要

严重瓣环钙化患者进行二尖瓣置换术可能会并发房室破裂、左旋冠状动脉损伤和血栓栓塞事件。对2例有大量瓣环钙化的患者进行了二尖瓣置换术,方法是将经纤维蛋白胶处理的特氟龙补片缝合在后外侧心房壁上。分别在30个月和34个月后,瓣膜功能正常,患者无症状,未发生出血和血栓栓塞事件。

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