在患者与假体不匹配的情况下调整 Konno 主动脉瓣成形术的技术。

IF 1.3 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Thoracic and Cardiovascular Surgeon Pub Date : 2024-04-01 Epub Date: 2021-08-10 DOI:10.1055/s-0041-1731283
Kerem M Vural, Timucin Sabuncu
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引用次数: 0

摘要

据报道,患者与假体不匹配是主动脉瓣置换术后出现不良后果的一个重要原因。要缓解患者与人工瓣膜不匹配的问题,通常需要进行全面的再次手术,这就必须扩大主动脉根部。Konno 主动脉瓣成形术是一种有效的治疗方案,因为这种技术既能使主动脉根部极度扩大,又能缓解经常伴有的瓣下梗阻。本文介绍了我们在成人患者-假体不匹配病例中对 Konno-aortoventriculoplasty 手术技术的调整,并强调了与小儿 Konno 手术的不同点。
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Technique for Adaptation of Konno Aortoventriculoplasty in Patient-Prosthesis Mismatch.

The patient-prosthesis mismatch has been reported as an important cause of adverse outcome following aortic valve replacement. The relief of patient-prosthesis mismatch generally requires a reoperation of comprehensive nature, which necessitates an extensive aortic root enlargement. The Konno aortoventriculoplasty represents an efficient treatment option, as this technique provides both extreme root enlargement and relief of the frequently associated subvalvular obstruction. However, the application and conduct of the procedure may somewhat differ from the pediatric Konno procedures. This article describes our surgical technique adaptation in Konno-aortoventriculoplasty for adult patient-prosthesis mismatch cases, highlighting the differing points from the pediatric-Konno.

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来源期刊
CiteScore
3.40
自引率
6.70%
发文量
365
审稿时长
3 months
期刊介绍: The Thoracic and Cardiovascular Surgeon publishes articles of the highest standard from internationally recognized thoracic and cardiovascular surgeons, cardiologists, anesthesiologists, physiologists, and pathologists. This journal is an essential resource for anyone working in this field. Original articles, short communications, reviews and important meeting announcements keep you abreast of key clinical advances, as well as providing the theoretical background of cardiovascular and thoracic surgery. Case reports are published in our Open Access companion journal The Thoracic and Cardiovascular Surgeon Reports.
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