经小切口修复二叶式主动脉瓣合并升主动脉瘤
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Video Description:人群中二叶式主动脉瓣的发生率约为1%。这种畸形是主动脉瓣关闭不全的常见原因,并会伴发主动脉根部瘤和升主动脉瘤。主动脉瓣关闭不全患者的主动脉瓣修复术已经标准化,术后长期结局也令人满意。近年来微创主动脉瓣手术已经有所进展,进行这种手术的患者术后恢复快,且外观受手术影响较小。作者提供了1例经胸骨上段小切口修复二叶式主动脉瓣合并升主动脉瘤的微创手术。
Bicuspid aortic valve affects about one percent of the population. It is a frequent cause of aortic insufficiency, and is also associated with aortic root or ascending aortic aneurysms. Techniques for aortic repair in patients with aortic insufficiency have been standardized and can be performed with satisfactory long term results. Minimally invasive aortic valve surgery has expanded in recent years, offering patients benefits in terms of improved postoperative recovery and cosmetic results. The authors present a case of minimally invasive repair of a bicuspid aortic valve and ascending aortic aneurysm through the upper ministernotomy approach.
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