EXTENDED AORTIC ROOT REPLACEMENT WITH PULMONARY AUTOGRAFTS

被引：18

作者：

DAENEN, W

GEWILLIG, M

机构：

[1] Department of Cardiac Surgery, University Hospital Gasthuisberg

[2] Department of Pediatric Cardiology, University Hospital Gasthuisberg

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 1993年 / 7卷 / 01期

关键词：

AORTOVENTRICULOPLASTY; SUBVALVULAR AORTIC STENOSIS; PULMONARY AUTOGRAFT; VALVULAR HOMOGRAFT;

D O I：

10.1016/1010-7940(93)90147-4

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The surgical relief of complex multilevel left ventricular outflow tract obstruction remains a challenging surgical problem. We present a new operation which combines the concepts of aortoventriculoplasty, extended aortic root replacement and the use of a pulmonary autograft. Four patients underwent this operation without mortality and morbidity. All patients were in sinus rhythm and showed excellent function of the autograft valve at early follow-up. This operation might present a more durable or even a definitive solution in the management of complex left ventricular outflow tract obstructions.

引用

页码：42 / 46

页数：5

共 20 条

[1]

Brown J.W., Girod D.A., Hurwitz R.A., Caldwell R.L., Rocchini A.P., Behrendt D.M., Kirsch M.M., Apicoaortic valved conduits for complex left ventricular outflow obstruction: Technical considerations and current status, Ann Thorac Surg, 38, pp. 162-168, (1984)

[2]

Deleon S.Y., Ilbawi M.N., Roberson D.A., Arcilla R.A., Thilenius O.G., Wilson W.R., Duffy E.C., Quinones J.A., Conal enlargement for diffuse subaortic stenosis, J Thorac Cardiovasc Surg, 102, pp. 814-820, (1991)

[3]

De Vivie E.R., Koncz J., Rupprath G., Vogt J., Beuren A.J., Aortoventriculoplasty for different types of left ventricular outflow obstructions, J Cardiovasc Surg, 23, (1982)

[4]

Didonato R.M., Danielson G.K., McGoon D.C., Driscoll D.J., Julsrud P.R., Edwards W.D., Left ventricular-aortic conduits in pediatric patients, J Thorac Cardiovasc Surg, 88, pp. 82-91, (1984)

[5]

Fleming W.H., Sarafian L.B., Aortic valve replacement with concomitant aortoventriculoplasty in children and young adults, Ann Thorac Surg, 43, pp. 575-578, (1987)

[6]

Gerosa G., McKay R., Ross D.N., Replacement of the aortic valve or root with a pulmonary autograft in children, Ann Thorac Surg, 51, pp. 424-429, (1991)

[7]

Gerosa G., McKay R., Davies J., Ross D.N., Comparison of the aortic homograft and the pulmonary autograft for aortic valve or root replacement in children, J Thorac Cardiovasc Surg, 102, pp. 51-61, (1991)

[8]

Gewillig M., Daenen W., Dumoulin M., Van Der Hauwaert L., Rheologic genesis of discrete subvalvular aortic stenosis: A Doppler echocardiographic study, J am Co11 Cardiol19, pp. 818-824, (1992)

[9]

Konno S., Imai Y., Lida Y., Nakajima M., Tatsuno K., A new method for prosthetic valve replacement in congenital aortic stenosis associated with hypoplasia of the aortic valve ring, J Thorac Cardiovasc Surg, 70, pp. 909-917, (1975)

[10]

Koul B.L., Henze A., Bjiirk V.O., Aortoventriculoplasty ad modum Konno. Experience with five cases, Stand J Thorac Cardiovasc Surg, 18, pp. 239-242, (1984)

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