保留主动脉瓣主动脉根部替换术的临床应用评价  

Evaluation of Valve-Sparing Aortic Root Replacement

作　　者：熊辉[1] 孙立忠[1] 常谦[1] 朱俊明[1] 田良鑫[1] 王民英[1] 

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

出　　处：《中国循环杂志》2005年第4期302-304,共3页Chinese Circulation Journal

摘　　要：目的评价保留自身主动脉瓣的主动脉根部替换的可行性和疗效。方法自1998年1月至2004年9月,对我院24例主动脉病变导致主动脉瓣关闭不全但瓣膜本身无明显异常的患者,实施了保留主动脉瓣的主动脉根部替换术,并术后随访观察主动脉瓣反流和心功能改善情况。结果全组无住院死亡。除1例仍为中度反流外,术后主动脉瓣反流均明显改善。随访中有2例非手术相关死亡,无主动脉瓣反流需再次手术者。全组心功能恢复满意。结论主动脉根部替换手术时,对由于主动脉根部瘤或升主动脉瘤导致的主动脉瓣反流者,可优选采用保留主动脉瓣的主动脉根部替换术。Objective ： To investigate whether valve-sparing aortic root replacement is an alternative option for patients who require aortic root replacement, and to observe the clinical results. Methods ： Twenty-four cases of aortic valve-sparing root replacement were performed. Post-operative aortic valve regurgitation and heart function were followed up. Results： There was no in- hospital death. Aortic valve regurgitation was all improved. Two deaths occurred later other than operation-related reasons. Conclusion： Valve-sparing root replacement operation is a good option for patients with aortic valve insufficiency due to aneurysm of aortic root or ascending aorta.

关 键 词：主动脉瓣反流 主动脉根部瘤 保留主动脉瓣根部替换 

分 类 号：R543.1[医药卫生—心血管疾病]