Remodeling+Ring(改良Yacoub)技术治疗二叶式主动脉瓣反流合并升主动脉瘤一例  

Remodeling+Ring(modified Yacoub)technique for the treatment of bicuspid aortic valve regurgitation with ascending aortic aneurysm:A case report

作　　者：郎乾镭 秦超毅[1] 李娅姣[2] 肖正华[1] 蒙炜[1] LANG Qianlei;QIN Chaoyi;LI Yajiao;XIAO Zhenghua;MENG Wei(Department of Cardiovascular Surgery,West China Hospital,Sichuan University,Chengdu,610041,P.R.China;Department of Vasculocardiology,West China Hospital,Sichuan University,Chengdu,610041,P.R.China)

机构地区：[1]四川大学华西医院心脏大血管外科,成都610041 [2]四川大学华西医院心血管内科,成都610041

出　　处：《中国胸心血管外科临床杂志》2022年第1期138-140,共3页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：二叶式主动脉瓣患者常合并主动脉扩张,若主动脉瓣质量良好,可行保留主动脉瓣的主动脉根部置换术。本文报道了1例35岁二叶式主动脉瓣反流合并升主动脉瘤男性患者行Remodeling+Ring(改良Yacoub)手术。患者术后第3 d复查心脏彩色超声提示主动脉瓣无反流,术后第6 d顺利出院。Remodeling+Ring手术保证了主动脉瓣叶的生理性运动,解决了扩大的瓣环,避免了更换瓣膜带来的问题,明显改善了患者的生活质量,值得推广。Patients with bicuspid aortic valve are often complicated with aortic dilatation.If the aortic valve is of good quality,aortic root replacement with aortic valve preservation is feasible.A 35-year-old male patient with bicuspid aortic regurgitation complicated with ascending aortic aneurysm underwent Remodeling+Ring(modified Yacoub)operation.Echocardiography showed that there was no aortic regurgitation on the 3 rd day after operation,and the patient was discharged satisfactorily on the 6 th day after operation.Remodeling+Ring surgery ensures the physiological movement of the aortic valve,solves the enlarged annulus,avoids the problems caused by valve replacement,and significantly improves the quality of life of patients,which is worth popularizing.

关 键 词：二叶式主动脉瓣 升主动脉瘤 主动脉瓣反流 改良Yacoub 主动脉瓣修复 

分 类 号：R654.2[医药卫生—外科学]