Surgical treatment on aortic valve disease combined with non-specific aortitis
10.3760/cma.j.issn.1001-4497.2012.02.001
- VernacularTitle:非特异性主动脉炎合并主动脉瓣病变的外科治疗
- Author:
Zhiyun XU
;
Liangjian ZOU
;
Lin HAN
;
Fanglin LU
;
Jibin XU
;
Xilong LANG
;
Zhigang SONG
;
Hao TANG
- Publication Type:Journal Article
- Keywords:
Aortitis;
Aortic valve;
Heart valve prosthesis implantation;
Cardiac surgical procedures;
Aortic root replacement
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2012;28(2):65-67
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summary the methods and results of first and second operations on patients with aortic valve disease and non-specific aortitis.Methods The total 34 patients including 23 cases with aortitis and 11 cases with Behcet disease were studied from Jan 2000 to Dec 2010.The first operation was Bentall procedure in 18 cases and AVR in 16 cases.Fourteen of 16 cases who had AVR developed severe paravalvular leakage,and undewent the second operation including 10 aortic root replacement (8 valve-conduit and 2 homograft) and 4 non-anatomic AVR.Results Eighteen patients who had first operation of Bentall procedure all survive without aortic pseudoaneurysm after the follow-up of 6 months to 11 years.Fourteen redo cases all survive except for one case died of repture of aortic pseudoaneurysm 1.2 years postoperatively.Conclusion Preoperative diagnosis in these patients is very difficulty.The first operation of root replacement is of choice.The second operation is very difficulty to handle,root replacement can achieve satisfactory results.Non-anatomic AVR is easy to perform,and good hemo stasis intraoperatively,and is a satisfied alternative method with good results.
