PRESENT STATUS OF RECONSTRUCTIVE SURGERY FOR AORTIC-VALVE DISEASE

被引：21

作者：

DURAN, CMG

机构：

[1] Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh

来源：

JOURNAL OF CARDIAC SURGERY | 1993年 / 8卷 / 04期

关键词：

D O I：

10.1111/j.1540-8191.1993.tb00392.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Most surgical techniques for reconstruction of the aortic valve, although described a long time ago, are now feasible with satisfactory results. The general surgical principles for successful reconstruction, and the operative techniques of annuloplasty, commissurotomy, free edge resuspension, unrolling and thinning, and cusp extension are described. Methods for intraoperative evaluation of the repaired valve are also described. Between August 1988 and April 1992, 166 patients underwent aortic valve reconstruction with a 3.2% hospital and 1.2% late mortality. There were no thromboembolic events in the patients with isolated aortic valve repair. The reoperation rate was 6.5%. Echocardiographic study at last follow-up showed stable results at 4 years maximum follow-up.

引用

页码：443 / 452

页数：10

共 46 条

[1]

Cosgrove DM, Rosenkrantz ER, Hendren WG, Et al., Valvuloplasty for aortic insufficiency, J Thorac Cardiovasc Surg, 102, pp. 571-577, (1991)

[2]

Duran C, Kumar N, Gometza B, Et al., Indications and limitations of aortic valve reconstruction, Ann Thorac Surg, 52, pp. 447-454, (1991)

[3]

Taylor WJ, Thrower WB, Black H, Et al., The surgical correction of aortic insufficiency by circumclusion, J Thorac Cardiovasc Surg, 35, pp. 192-205, (1955)

[4]

Andersen HR, Knudsen LL, Hasenkam JM, Transluminal implantation of artifical heart valves. Description of a new expandable aortic valve and initial results with implantation catheter technique in closed chest pigs, Eur Heart J, 13, pp. 704-708, (1992)

[5]

Tuffier T, Etat actuel de la chirurgie intrathoracique, 7 Sec, pp. 247-249, (1913)

[6]

Bailey CP, Bolton HE, Jamison WL, Et al., Commissurotomy for rheumatic aortic stenosis. I. Surgery, Circulation, 9, pp. 22-31, (1954)

[7]

Swan WK, Bradsher JT, Rodriguez Arroyo J, Intracardiac surgery with the aid of artifical operative tunnels, J Thorac Surg, 28, pp. 266-272, (1954)

[8]

Brock RC, Surgical treatment of aortic stenosis, BMJ, 1, pp. 1019-1028, (1957)

[9]

Muller WH, Kattus AA, Dammann JF, Et al., Experiences in the surgical treatment of aortic stenosis, J Thorac Surg, 28, pp. 516-535, (1954)

[10]

Lewis FJ, Shumway NE, Niazi SA, Et al., Aortic valvulotomy under direct vision during hyopthermia, J Thorac Surg, 32, pp. 481-499, (1956)

← 1 2 3 4 5 →