Hemisternotomy approach for aortic and mitral valve surgery.

Gillinov AM; Banbury MK; Cosgrove DM

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Hemisternotomy approach for aortic and mitral valve surgery.

机译：主动脉和二尖瓣手术的偏瘫术方法。

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After exploring several less invasive approaches for cardiac valve surgery, we have concluded that the partial upper sternotomy is the incision of choice for minimally invasive aortic and mitral valve surgery. From March 1997 to January 1999, 827 patients had cardiac valve surgery using this approach; 462 had mitral valve procedures and 365 had aortic valve procedures. Of those having mitral valve surgery, 87% had mitral valve repair. Aortic valve surgery included replacement with stented bioprostheses (38%), allografts (29%), and mechanical prostheses (10%); in addition, 23% had aortic valve repair. Operative mortality was 0.8%. Conversion to full sternotomy was necessary in 2.4%. Blood use was low with 80% of patients receiving no blood transfusions. We conclude that all primary mitral and aortic procedures can be accomplished safely via partial upper sternotomy.

机译：在探索心瓣手术的几种较少的侵入性方法后，我们已经得出结论，部分上部胸骨切开术是微创主动脉和二尖瓣手术的选择切口。从1997年3月到1999年1月，827名患者使用这种方法进行了心脏瓣膜手术; 462具有二尖瓣程序，365具有主动脉瓣程序。在二尖瓣手术中，87％有二尖瓣修复。主动脉瓣手术包括替代额退的生物波利体（38％），同种异体移植物（29％）和机械假体（10％）; 此外，23％有主动脉瓣修复。手术死亡率为0.8％。转化为完全胸骨切开术是必要的2.4％。血液使用较低，80％的患者接受没有输血。我们得出结论，所有初级二尖瓣和主动脉手术可以通过部分上部胸骨切开术安全地进行安全地完成。

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来源
《Journal of cardiac surgery.》 |2000年第1期|共6页
作者
Gillinov AM; Banbury MK; Cosgrove DM;
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作者单位

Department of Thoracic and Cardiovascular Surgery The Cleveland Clinic Foundation Ohio 44195 USA. gillinom;

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原文格式 PDF
正文语种 eng
中图分类外科学;
关键词
Aortic Valve; Heart Valve Diseases; Heart Valve Prosthesis Implantation; 主动脉瓣; 心脏瓣膜疾病; 心脏辨膜假体植入; 二尖瓣; 胸骨;

机译：Aortic Valve;Heart Valve Diseases;Heart Valve Prosthesis Implantation;主动脉瓣;心脏瓣膜疾病;心脏辨膜假体植入;二尖瓣;胸骨;

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专利

1. Hemisternotomy approach for aortic and mitral valve surgery. [J] . Gillinov AM, Banbury MK, Cosgrove DM Journal of cardiac surgery. . 2000,第1期

机译：主动脉和二尖瓣手术的偏瘫术方法。
2. Transapical aortic valve implantation after previous mitral valve surgery. [J] . Drews T, Pasic M, Buz S, The Journal of Thoracic and Cardiovascular Surgery . 2011,第1期

机译：经先前的二尖瓣手术后经心尖主动脉瓣植入术。
3. Tricuspid valve involvement in combined mitral and aortic valve surgery. [J] . Mueller XM, Tevaearai HT, Stumpe F, The Journal of Cardiovascular Surgery: Official Journal of the International Society for Cardiovascular Surgery . 2001,第4期

机译：三尖瓣参与二尖瓣和主动脉瓣联合手术。
4. Analysis of Mitral Valve Motion in 4D Transesophageal Echocardiography for Transcatheter Aortic Valve Implantation [C] . Frank M. Weber, Thomas Stehle, Irina Waechter-Stehle, International workshop on statistical atlases and computational models of the heart;International Conference on Medical Image Computing and Computer Assisted Intervention . 2015

机译：经导管主动脉瓣植入术的4D经食管超声心动图检查二尖瓣运动
5. 3D Reconstruction of Left Ventricle with Mitral and Aortic Valves from Multiple Axis 2D Echocardiography at Standard Cross Sections and Flow Simulations [D] . Patel, Tatsat Rajendra. 2018

机译：多轴2D超声心动图在标准横截面上用二尖瓣和主动脉瓣进行左心室3D重建和血流模拟
6. Aortic and Mitral Valve Replacement Through a Single Transverse Aortotomy: A Useful Approach in Difficult Mitral Valve Exposure [O] . Michael J. Carmichael, Denton A. Cooley, Arsenio S. Favor 1983

机译：通过单个横向主动脉切开术置换主动脉和二尖瓣：困难的二尖瓣暴露的有用方法
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Hemisternotomy approach for aortic and mitral valve surgery.

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