Le Clerc J L
Service de Chirurgie Cardiaque, Hôpital Erasme, U.L.B.
Rev Med Brux. 1998 Sep;19(4):A221-3.
Surgery for cardiac valvular pathology is one of the great success of the 20th century. Until recently the surgical techniques were centered on median sternotomy and cardiopulmonary bypass with aortic and atrial cannulation. The changes in cardiac surgical technique for minimally invasive valve surgery include: a different and smaller incision to minimize trauma to the body, a new technique of connecting the patient to the cardiopulmonary bypass, a different technique for myocardial perfusion and aortic occlusion.
心脏瓣膜疾病的外科手术是20世纪的重大成就之一。直到最近,外科技术仍以正中胸骨切开术以及采用主动脉和心房插管的体外循环为核心。微创瓣膜手术的心脏外科技术变化包括:采用不同的更小切口以尽量减少对身体的创伤、将患者连接到体外循环的新技术、心肌灌注和主动脉阻断的不同技术。