Surgical strategy for aortic regurgitation attributable to Behcet disease
10.3760/cma.j.issn.1001-4497.2018.10.004
- VernacularTitle:白塞病患者主动脉瓣关闭不全的外科治疗策略
- Author:
Xijie WU
1
;
Lin LU
;
Liangliang YAN
;
Qianzhen LI
;
Liangwan CHEN
Author Information
1. 福建医科大学附属协和医院心脏外科
- Keywords:
Behcet syndrome;
Aortic valve insufficiency;
Cardiac surgical procedures
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2018;34(10):589-592
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the surgical strategy for aortic regurgitation attributable to Behcet disease.Methods The follow-up results of 18 patients with aortic regurgitation attributable to Behcet disease were retrospectively analyzed and the surgical effects of different surgical methods were summarized.Results 6 cases underwent isolate aortic valve replacement several times,one case was survial,the motality was 83 percent.5 cases with severe paravalvular leakage after initial aortic valve replacement underwent the modified Bentall procedure,in which the valved conduit was proximally attached to the left ventricular outflow tract.In these patients one case underwent re-do operation because of the fight coronary pseudoaneurysm and died of the low cardica output in postoperative 7 months.One case underwent re-do operation because of the prosthetic detachment and died of the low cardiac output in postoperative 11 months,the motality was 40 percent.7 cases underwent the modified Bentall procedure using the pericardium skirt below the valve sewing ring,one case underwent the re-do operation because of the prosthetic detachment and died of the low cardiac output in postoperative 15 months.The mortality was 14.3 percent.Conclusion The modified Bentall procedure with the valved conduit using the pericardium skirt below the valve sewing ring could prevent the prosthetic detachment and paravalvular leakage effectively.
