Surgical treatment of incompetent quadricuspid aortic valve
10.3760/cma.j.issn.1001-4497.2018.10.003
- VernacularTitle:主动脉瓣四瓣化并关闭不全的外科治疗
- Author:
Huili YUAN
1
;
Weidan CHEN
;
Li MA
;
Shengchun YANG
;
Minghui ZOU
;
Yuansheng XIA
;
Ye LU
;
Xinxin CHEN
Author Information
1. 510623,广州医科大学附属广州市妇女儿童医疗中心心脏中心
- Keywords:
Quadricuspid;
Truncus arteriosus;
Aortic valve repair
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2018;34(10):586-588
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the surgical results of patients with quadricuspid aortic valve and aortic regurgitation.Methods From June 2013 to June 2017,4 patients with incompetent quandricuspid aortic valve underwent surgical repair at Guangzhou Women and Children's Medical Center.The age at surgery was 2 months to 5 years,and body weight was 2.7-22.7 kg.3 patients were diagnosed with persistent tmncal arteriosus and underwent complete repair.Another one was diagnosed with tetralogy of Fallot and accepted complete repair 4 years age.All patients were diagnosed with more than moderate quandricuspid aortic valve regurgitation.Repair was performed by tricuspidalization of the native quadricuspid valve,using leaflet and related sinus of Valsalva excision.Results There was no mortality.The ICU stay and hospital stay after operation were 7-12 days and 10-16 days.The follow-up duration was 3 to 51 months.All patients were alive and free from significant aortic valve regurgitation.Conclusion Aortic valve remodeling by leaflet excision and reduction annuloplasty is an effective method for incompetent quadricuspid aortic valve repair.