微创主动脉瓣置换术:现在是最好的手术方法吗?

G. Reyes, C. Calle
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引用次数: 0

摘要

全胸骨切开主动脉瓣置换术一直是治疗严重主动脉瓣狭窄的金标准。目前,经导管主动脉瓣植入术已成为一种新的手术方法,在主动脉瓣狭窄的高危人群中已显示出其疗效。微创主动脉瓣置换术采用7-9厘米切口,胸骨上切口,可获得经导管手术的优点,手术视野开阔,微创性小。我们回顾了微创主动脉瓣置换术的利弊,更新了文献中获得的信息。
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Minimally Invasive Aortic Valve Replacement: Is It Now the Best Surgical Approach?
Full sternotomy aortic valve replacement has been the gold standard for the treatment of severe aortic stenosis. Now transcatheter aortic valve implantation is becoming a new procedure that has shown its efficacy in a high risk population with aortic stenosis. Minimally invasive aortic valve replacement, using a 7-9 centimeters incision with an upper sternotomy tries to obtain the advantages and open surgical field and the less aggression of transcatheter procedures. We review the pros and cons of the minimally invasive aortic valve replacement updating the information obtained in the literature.
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