严重钙化性主动脉瓣病变的手术策略及治疗效果观察.pdfVIP

实用医院临床杂志2012 年 1 月第9 卷第 1 期 99 严重钙化性主动脉瓣病变的手术策略及治疗效果观察 书柳尖，李明秋 [摘要] 目的 探讨严重钙化性主动脉瓣病变手术治疗效果。方法 对 13 例严重钙化性主动脉瓣病变患者行手术治疗，其 中同时行二尖瓣置换术3 例，冠状动脉旁路移植术 1 例，升主动脉成形术2 例，Bentall 术 1 例，三尖瓣成形术2 例。结果 围手术期 死亡3 例，1 例术后出现E。房室传导阻滞，其余术后均顺利恢复，无其他严重并发症。结论 严重钙化的主动脉瓣病变手术死亡率 高，术中应加强心肌保护，对钙化部分合理处理，能有效防止并发症，降低手术死亡率。 [关键词]主动脉瓣;钙化;手术 [中图分类号1 R61; 盯42.5 ;R336 [文献标识码1 A [文章编号1 1672-6 170(2012)01 -0099 -02 Observation on effect of surgical therapy of serious calcified aortic valve disease: Analysis of 13 cases WEI Liu-yα， n ,LI Ming-qiu (Department 01 Cardiac Surge巾， Wuxi Peoples Hospital ,W旧i 214023 , China) [Abstract 1Objective To discuss the effect of surgical therapy of serious calcified aortic valve disease. Methods Thirteen cases of serious aortic valve disease underwent surgical treatments including 3 cases of mitral valve replacement ,1 case of coronary artery 峙， pass grafting ,2 cases of aortoplasty ,1 case of Bentall and 2 cases of tricuspid valvuloplasty. Results Perioperative death occurred in 3 cases.One patient had m0 atrial ventricular block after surgery. The others recovered well after operation without any serious. complica- tion. Conclusious Serious calcified aortic valve disease has a high operative mortality. We should enhance the protection of myocardi- um during operation and appropriately manage calcified tissues to prevent complications and reduce operative mortality. [ Key words 1 Aortic valve disease; Calcification ; Operation 钙化性主动脉瓣病变致主动脉瓣狭窄者多见， 膜置换术，现将治疗体会总结报道如下。 1 资料与方法 有的合并不同程度关闭不全。随着人类老龄化，老 年性，心脏瓣膜钙化的发生率明显升高，已经成为一 1.1