摘要
目的总结二叶式主动脉瓣畸形的临床特点、外科治疗经验及疗效。方法对2007年1月～2011年12月在我院接受手术治疗的48例二叶式主动脉瓣畸形患者的临床资料进行回顾性分析。结果全组行主动脉瓣置换术47例,主动脉瓣成形术1例;同期行升主动脉成形术3例,升主动脉置换术2例(Wheat术),冠状动脉移植+升主动脉置换术(Bentall术)4例,二尖瓣置换术7例,二尖瓣成形术5例,三尖瓣成形术2例,室间隔缺损修补术2例,主动脉窦瘤破裂修补术1例。术后3例出现并发症,1例死亡。32例随访6～61个月,患者临床症状减轻或者消失,心功能明显改善。结论二叶式主动脉瓣畸形可致主动脉瓣狭窄或者关闭不全,也可引起感染性心内膜炎或者升主动脉扩张;主动脉瓣置换术是治疗二叶式主动脉瓣畸形的常规有效方法,但应根据患者的不同临床特点选择合适的术式。
Objective To summarize the clinical characteristics, the surgical treatment experience and results of bicuspid aortic valve. Methods The clinical data about 48 patients with bicuspid aortic valve undergone cardiac surgical procedure from January 2007 to December 2011 was analysied retrospectively. Results All operations were performed successfully, including 47 cases of aortic vavle replacement and 1 case of aortic vavluloplasty. The concomitant procedures included 3 cases of ascending aor- ta plasty, 2 cases of ascending aorta replacement, 4 cases of coronary artery transplantation and ascending aorta replacement, 7 cases of mitral valve replacement, 5 cases of mitral valvuloplasty, 2 eases of tricuspid valvuloplasty, 2 cases of ventricular sepial defect repair and 1 case of ruptured aortic sinus aneurysm repair. Postoperative complications occurred in 3 cases, and 1 case died. 32 cases were followed up for 6 -61 months, the clinical symptoms reduced or disappeared, and the cardiac iunction was improved significantly. Conclusion Bicuspid aortic valve often causes aortic stenosis or regurgitation, infective endocarditis or ascending aortic dilatation. Aortic valve replacement is the commonly used and effective treatment for most bicuspid aortic valve patients, and the surgical procedure should adopt flexible strategy for patients.
出处
《四川医学》
CAS
2013年第3期317-320,共4页
Sichuan Medical Journal
