Cohn L H, Adams D H, Couper G S, Bichell D P
The Brigham and Women's Hospital, Department of Surgery, Harvard Medical School, Boston, MA 02115, USA.
Semin Thorac Cardiovasc Surg. 1997 Oct;9(4):331-6.
Aortic valve replacement has proven reliable, relieves life-threatening symptoms, and improves long-term survival of patients with aortic stenosis and aortic regurgitation. Minimally invasive aortic valve replacement uses small incisions; reduces exposure of the patient to surgical trauma, blood utilization, and operative dissection; although still using cardiopulmonary bypass and achieving the same general quality as with the open operation. Early and medium term results for minimally invasive aortic valve replacement approaches show a reduction in pain, improved patient satisfaction, and improved mobility and return to full-time activity. Concomitantly, there should be decreased cost and a decreased reliance on post-hospital rehabilitation.
主动脉瓣置换术已被证明是可靠的，可缓解危及生命的症状，并提高主动脉瓣狭窄和主动脉瓣反流患者的长期生存率。微创主动脉瓣置换术采用小切口；减少患者手术创伤、血液使用和手术解剖暴露；尽管仍需使用体外循环，但其总体质量与开放手术相同。微创主动脉瓣置换术的早期和中期结果显示疼痛减轻、患者满意度提高、活动能力改善以及恢复全职活动。与此同时，成本应有所降低，对出院后康复的依赖也应减少。
