摘要
目的总结保留主动脉瓣的主动脉根部修复术(DAVID手术)治疗主动脉根部动脉瘤的经验。方法12例患者,DeBakeyI型主动脉夹层动脉瘤8例,马凡综合征主动脉根部瘤4例,均采用DAVID-Ⅰ式方法行保留主动脉瓣的主动脉根部修复术。结果12例患者中,1例DeBakeyI型主动脉夹层动脉瘤患者因术后出血,二次开胸止血,余11例均恢复顺利,术后随访3～6个月,所有患者心功能均恢复到纽约心脏病协会(NYHA)分级I级。心脏彩色多普勒超声检查主动脉瓣10例关闭良好,2例有轻度反流。结论DAVID手术治疗主动脉根部动脉瘤是一种安全有效的方法。
Objective To summarize experiences of the treatment of aortic root aneurysms with valve-sparing aortic root replacement （DAVID operation）. Methods Eight patients with DeBakey type Ⅰ aortic dissection and 4 patients with Marfan syndrome were treated with DAVID- Ⅰ operation. Results Re-exploration for bleeding occurred in 1 patient with DeBakey type Ⅰ aortic dissection. No complication happened in the other patients. All patients were followed up for 3-6 months, All patients were in cardiac function of NYHA class Ⅰ , with aortic valve mild regurgitation in 2 patients. Conclusion DAVID operation is a safe and effective method for the treatment of aortic root aneurysms.
出处
《中国心血管病研究》
CAS
2006年第2期102-103,共2页
Chinese Journal of Cardiovascular Research
关键词
主动脉瘤
外科手术
选择性
Aortic aneurysm
Surgical procedures, elective
