Dodge A, Najafi H
Department of Cardiovascular-Thoracic Surgery, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL, USA.
Swiss Surg. 1998;4(3):118-20.
Combined replacement of the aortic and mitral values is a relatively common operation. Occasionally it is feasible to replace the mitral value through the aortic root. This remarkable approach eliminates the need for a second atrial incision, and in reoperation it avoids extensive dissection and release of adhesions. Injury to the heart is minimized and the incidence of perioperative bleeding is reduced. The exposure is excellent and the operation is performed safely and expeditiously.
主动脉瓣和二尖瓣联合置换是一种相对常见的手术。偶尔，经主动脉根部置换二尖瓣是可行的。这种显著的方法无需做第二个心房切口，在再次手术时可避免广泛的解剖和粘连松解。心脏损伤最小化，围手术期出血发生率降低。显露极佳，手术能安全、迅速地进行。
