32例Wheat手术临床分析  

Clinical analysis on 32 cases of Wheat procedure

作　　者：张怀军[1] 孙立忠[1] 常谦[1] 朱俊明[1] 朱晓东[1] 

机构地区：[1]中国医学科学院中国协和医科大学心血管疾病研究所阜外心血管病医院外科,北京100037

出　　处：《中华胸心血管外科杂志》2004年第3期129-130,共2页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：目的　探讨主动脉瓣置换合并升主动脉扩张的外科处理方法。方法　 1996年至 2 0 0 2年间32例Wheat手术病人中男 2 5例 ,女 7例。平均年龄 ( 4 8 6± 8 9)岁。主动脉瓣病变主要是先天性二瓣化畸形 ( 19例 ,5 9% )。升主动脉内径 4 5～ 6 0mm ,平均 ( 5 2 2± 4 5 )mm。均在体外循环下行主动脉瓣和升主动脉置换。结果　无手术和住院死亡。心功能均恢复至I～II级。平均随访 2 2个月 ,无死亡 ,无远期假性动脉瘤发生。Objective: To discuss the methods of treatment patients with aortic valve lesions associated with ascending aortic dilation. Methods: From 1996 to 2002, 32 patients were underwent Wheat procedure. The mean age of patients was (48 6±8 9) years. The pathology of aortic valve was bicuspid valve (19 cases,59%). The mean diameter of ascend aorta was (52 2±4 5) mm (45～60 mm). All patients received aortic valve and ascend aorta replacement. Results: All patients survived. The mean duration of follow up was 22 months. There was no postoperative death and no pseudoaneurysm. All patients were in NYHA class I～II after surgery. Conclusion: Wheat procedure is a simple and effective treatment for patients with ascending aorta dilation who need aortic valve replacement.

关 键 词：Wheat手术 主动脉瓣置换 升主动脉扩张 心脏外科 心脏瓣膜疾病 

分 类 号：R654.2[医药卫生—外科学]