主动脉根部和瓣膜置换术：瓣膜导管的应用

福建省心血管病研究所福建省立医院心外科韩涛二、主动脉根部无扩大，主动脉瓣关闭不全，升主动脉壁撕裂。采用Cabrol（36例）。三、主动脉根部狭窄的主动脉瓣关闭不全，升主动脉扩张。（25例）四、主动脉瓣狭窄伴关闭不全，升主动脉扩张。老年性主动脉瓣钙化（40例）。体会：谢谢！Aorticrootandvalvesurgery:onaorticvalveconduitapplication

DepartmentofCardiovascularSurgery

FujianProvincialCardiovascularDiseaseResearchInstitute

FujianProvincialHospital

HanTaoProf.Thecasesthatsufferedfromaorticvalvediseaseusuallyassociatedwiththeproblemsofaorticringoraorticsinusorascendingaorta,thespecialsurgicaltreatmentshouldbeappliedaccordingtodifferentproblemsofaorta866casesreceivedaorticvalvereplacement,andamongthem251casesaccompaniedwithaorticrootandascendingaortadisorders.Aorticdilatation,aorticregurgitation,Marfan’ssyndromeetc.UsingBentallprocedure.(147cases)

Method:a:usingrunningsutureinaorticvalvereplacementandownmadevalveconduit.b:leftcoronaryarteryanastomoseddirectlytothesyntheticvessel,withoutusing“buttonsuture”.c:theprosthesisvalveconduitwrappedwiththeremainedwallofaorta

Notaoticdilatation,aorticregurgitation,dissectingascendingaorta.UsingCabrolprocedure.(36cases)Method:a:leftandrightcoronaryarteriesanastomosedtoa8mmsyntheticvessel.b:usinginterruptsutureinaorticvalvereplacementc:theprothesisvalveconduitwrappedwiththeremainedwallofaorta.Theaorticvalveregurgitationbothwithaorticrootstenosisandascendingaorticdilatation.(25cases)

Method:a:toextendaorticroot.tomakeincisionbetweentheleftcoronarysinusandnon-coronarysinus,andthenthemitralringisbroadenwithpericardium.b:interruptandrunningsuturewerecombined.c:thedilatedaortarestrainedandwrappedwithaprosthesisbloodvessel.Theaorticvalvestenosisassociatedbothwithregurgitationandascendingaortadilatation.Thegeraticaorticvalvecalcification.(40cases)

Method:a:usinginterruptsutureinaorticvalvereplacement.b:theaortawrappedwithaprosthesisvessel.Theaorticsinusdilatationwithnormalaorticvalve.UsingDavidprocedure.(3cases)Method:a:routineDavidprocedureb:theprosthesisbloodvesselwrappedwiththeremainedofaorticwall.Conclusion1.Shortenandsimplifiedthesurgicalprocedure2.Bringing