Ourania Preventza , Alice Le Huu , Joseph S. Coselli
{"title":"直接的现代一步一步的主动脉根置换术与保留瓣膜的三尖瓣主动脉瓣修复","authors":"Ourania Preventza , Alice Le Huu , Joseph S. Coselli","doi":"10.1053/j.optechstcvs.2022.12.001","DOIUrl":null,"url":null,"abstract":"<div><p><span>Valve-sparing aortic root<span> replacement (VSARR) has become an appealing choice for replacing an aneurysmal root when the patient's anatomic characteristics are favorable, especially in patients<span><span> with heritable thoracic aortic disease. It is a technically challenging procedure, and the learning curve is considerable. This approach's chief advantages are that the patient's own </span>aortic valve apparatus is preserved, the repair (in expert hands) is durable, and it avoids the need for lifelong </span></span></span>anticoagulation<span> associated with the mechanical valves in the aortic root prostheses. In this report, we provide a step-by-step approach for aortic root replacement in patients with a tricuspid aortic valve suitable for VSARR.</span></p></div>","PeriodicalId":35965,"journal":{"name":"Operative Techniques in Thoracic and Cardiovascular Surgery","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"Straightforward Contemporary Step-by-Step Approach to Aortic Root Replacement With Valve-Sparing Tricuspid Aortic Valve Repair\",\"authors\":\"Ourania Preventza , Alice Le Huu , Joseph S. Coselli\",\"doi\":\"10.1053/j.optechstcvs.2022.12.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p><span>Valve-sparing aortic root<span> replacement (VSARR) has become an appealing choice for replacing an aneurysmal root when the patient's anatomic characteristics are favorable, especially in patients<span><span> with heritable thoracic aortic disease. It is a technically challenging procedure, and the learning curve is considerable. This approach's chief advantages are that the patient's own </span>aortic valve apparatus is preserved, the repair (in expert hands) is durable, and it avoids the need for lifelong </span></span></span>anticoagulation<span> associated with the mechanical valves in the aortic root prostheses. In this report, we provide a step-by-step approach for aortic root replacement in patients with a tricuspid aortic valve suitable for VSARR.</span></p></div>\",\"PeriodicalId\":35965,\"journal\":{\"name\":\"Operative Techniques in Thoracic and Cardiovascular Surgery\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Operative Techniques in Thoracic and Cardiovascular Surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1522294222001222\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Techniques in Thoracic and Cardiovascular Surgery","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1522294222001222","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Straightforward Contemporary Step-by-Step Approach to Aortic Root Replacement With Valve-Sparing Tricuspid Aortic Valve Repair
Valve-sparing aortic root replacement (VSARR) has become an appealing choice for replacing an aneurysmal root when the patient's anatomic characteristics are favorable, especially in patients with heritable thoracic aortic disease. It is a technically challenging procedure, and the learning curve is considerable. This approach's chief advantages are that the patient's own aortic valve apparatus is preserved, the repair (in expert hands) is durable, and it avoids the need for lifelong anticoagulation associated with the mechanical valves in the aortic root prostheses. In this report, we provide a step-by-step approach for aortic root replacement in patients with a tricuspid aortic valve suitable for VSARR.
期刊介绍:
Operative Techniques in Thoracic and Cardiovascular Surgery provides richly illustrated articles on techniques in thoracic and cardiovascular surgery written by renowned surgeons. Each issue presents cardiothoracic topics in adult cardiac, congenital, and general thoracic surgery. Each specialty of interest to the thoracic and cardiovascular surgeon is explored through two different approaches to a specific surgical challenge. Each article is thoroughly illustrated with original line drawings, actual intraoperative photos, and supporting tables and graphs.