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主动脉瓣置换术的病理学

Pathology of aortic valve replacement.

作者信息

Rose A G

出版信息

S Afr Med J. 1977 Sep 24;52(14):551-6.

PMID:910195
Abstract

The autopsy findings in 41 patients with University of Cape Town aortic valve prostheses were studied. Twenty patients died within 1 month of operation and 21 patients died later, up to 141 months after operation. The most important postoperative complications which were common to both groups of patients were arrhythmias, myocardial failure and infection. Systemic embolism was the most important late complication. The type of coronary arterial perfusion or ventricular rhythm during bypass did not influence the myocardial pathology. Patients who died of myocardial failure did not show more severe myocardial alterations than did those who died of other causes.

摘要

对41例接受开普敦大学主动脉瓣置换术患者的尸检结果进行了研究。20例患者在术后1个月内死亡,21例患者在术后较晚时间死亡,最长至术后141个月。两组患者共有的最重要术后并发症是心律失常、心肌衰竭和感染。全身栓塞是最重要的晚期并发症。体外循环期间的冠状动脉灌注类型或心室节律不影响心肌病理改变。死于心肌衰竭的患者与死于其他原因的患者相比,并未表现出更严重的心肌改变。

相似文献

1
Pathology of aortic valve replacement.主动脉瓣置换术的病理学
S Afr Med J. 1977 Sep 24;52(14):551-6.
2
Aortic and mitral valve surgery on the beating heart is lowering cardiopulmonary bypass and aortic cross clamp time.心脏不停跳下的主动脉瓣和二尖瓣手术正在缩短体外循环和主动脉阻断时间。
Heart Surg Forum. 2002;5(2):182-6.
3
Myocardial infarction complicating aortic valve replacement.
J Thorac Cardiovasc Surg. 1976 Jun;71(6):869-71.
4
[Coronary vessel perfusion in aortic and multiple valve replacement surgery: Incidences on postoperative mortality and morbidity].
Arch Mal Coeur Vaiss. 1974 Sep;67(9):1023-37.
5
Acute right ventricular failure during aortic valvular operation due to mechanical problem in the right coronary artery.主动脉瓣手术期间因右冠状动脉机械性问题导致的急性右心室衰竭。
Ann Thorac Surg. 1996 Feb;61(2):706-7. doi: 10.1016/0003-4975(95)01093-9.
6
Myocardial protection during aortic valve replacement: normothermia versus hypothermia.主动脉瓣置换术中的心肌保护:常温与低温对比
Can J Surg. 1978 Mar;21(2):101-3.
7
Massive acute infarction of the right ventricular wall without or only minimal infarction of the left ventricular wall after aortic valve replacement with or without simultaneous replacement of the ascending aorta.主动脉瓣置换术(或联合升主动脉置换术)后出现右心室壁大面积急性梗死,而左心室壁无或仅有极小面积梗死。
Cardiovasc Pathol. 2010 May-Jun;19(3):187-90. doi: 10.1016/j.carpath.2008.12.011. Epub 2009 Feb 11.
8
[Comparative ultrastructural-morphometric studies of the human myocardium before and following heart surgery using myocardial protection].[使用心肌保护技术对心脏手术前后人体心肌进行的超微结构-形态计量学比较研究]
Z Exp Chir Transplant Kunstliche Organe. 1985;18(5):298-307.
9
Valve replacement for aortic stenosis: the curative potential of early operation.主动脉瓣狭窄的瓣膜置换术:早期手术的治愈潜力。
Scand J Thorac Cardiovasc Surg Suppl. 1993;40:1-137.
10
Autopsy-determined causes of death following heart valve replacement.心脏瓣膜置换术后尸检确定的死亡原因
Am J Cardiovasc Pathol. 1987 Jan;1(1):39-46.

引用本文的文献

1
Rapid development of coronary arterial stenosis following valve replacement: an unusual cause of myocardial ischemia.瓣膜置换术后冠状动脉狭窄的快速进展:心肌缺血的一种罕见原因。
Tex Heart Inst J. 1986 Sep;13(3):305-7.