Tapia M, Brizard C, Frémont D, Luxereau P, Delarrat M, Deloche A, Acar C
Service de chirurgie thoracique et cardiovasculaire, Centre hospitalo-universitaire Bichat, Paris.
Arch Mal Coeur Vaiss. 1997 Dec;90(12):1611-4.
The mechanism of rheumatic aortic regurgitation is retraction of the three cusps leading to lack of coaptation. The authors describe a technique of aortic valve repair by extension of the cusps using autologous pericardium, undertaken in 52 patients (mean age 21 +/- 5 years) and report the short and medium term results. There were no operative deaths or reoperation for technical failure. The postoperative echocardiographic examinations showed absent or minimal aortic regurgitation in 45 patients (87%) and moderate regurgitation in 7 patients (13%). The echocardiographic results at 2 years were stable: no patient was reoperated for deterioration of the valvuloplasty. This technique is reproducible and reliable is selected patients.
风湿性主动脉瓣反流的机制是三个瓣叶回缩导致对合不良。作者描述了一种使用自体心包延长瓣叶进行主动脉瓣修复的技术，该技术应用于52例患者（平均年龄21±5岁），并报告了短期和中期结果。无手术死亡病例，也没有因技术失败而再次手术的情况。术后超声心动图检查显示，45例患者（87%）无主动脉瓣反流或仅有微量反流，7例患者（13%）有中度反流。2年时的超声心动图结果稳定：没有患者因瓣膜成形术恶化而再次手术。该技术在选定的患者中具有可重复性和可靠性。
