单心室合并瓣膜关闭不全的手术策略  

Surgical Techniques of Atrioventricular Valve Insufficiency in Patients with Single Ventricle

作　　者：李晓华[1] 高强[1] 陈寄梅[1] 

机构地区：[1]广东省心血管病研究所广东省人民医院(广东省医学科学院)心外科,广州510080

出　　处：《中国胸心血管外科临床杂志》2016年第9期912-915,共4页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金："十二五"国家科技支撑计划项目(2011BAIB22)~~

摘　　要：严重的房室瓣反流是单心室矫治预后的重要危险因素,增加手术死亡率及并发症发生率。尽管各种成形技术已极大改善单心室患者的预后,但部分患者的反流仍逐渐加重而需要接受瓣膜置换手术。本文详细检索了国内外单心室瓣膜处理的相关文献,对房室瓣反流及外科干预对单心室患者的临床意义、手术时机、外科技术和预后等做一综述。Significant atrioventricular valve （AVV） insufficiency has been associated with increased mortality and morbidity in patients with single ventricle. Although techniques such as annuloplasty, chordal elongation, and the use of pericardial patches can improve AVV function in many patients, a number of patients continue to have significant AVV insufficiency and may require AVV replacement. The present review made a comprehensive literature review concerning the outcome, optimal timing, key points of technique skills and prognosis evaluation.

关 键 词：单心室 房室瓣反流 外科技术 

分 类 号：R654.2[医药卫生—外科学]