Surgical treatment on aortic valve disease combined with non-specific aortitis
XU Zhi-yun, ZOU Liang-jian, HAN Lin, LU Fang-lin, XU Ji-bin, LANG Xi-long, SONG Zhi-gang, TANG Hao
Published 2012-02-25
Cite as Chin J Thorac Cardiovasc Surg, 2012,28(02): 65-67. DOI: 10.3760/cma.j.issn.1001-4497.2012.02.001
Abstract
Objective To summary the methods and results of first and second operations on patients with aortic valve disease and non-specific aortitis.Methods The total 34 patients including 23 cases with aortitis and 11 cases with Behcet disease were studied from Jan 2000 to Dec 2010.The first operation was Bentall procedure in 18 cases and AVR in 16 cases.Fourteen of 16 cases who had AVR developed severe paravalvular leakage,and undewent the second operation including 10 aortic root replacement (8 valve-conduit and 2 homograft) and 4 non-anatomic AVR.Results Eighteen patients who had first operation of Bentall procedure all survive without aortic pseudoaneurysm after the follow-up of 6 months to 11 years.Fourteen redo cases all survive except for one case died of repture of aortic pseudoaneurysm 1.2 years postoperatively.Conclusion Preoperative diagnosis in these patients is very difficulty.The first operation of root replacement is of choice.The second operation is very difficulty to handle,root replacement can achieve satisfactory results.Non-anatomic AVR is easy to perform,and good hemo stasis intraoperatively,and is a satisfied alternative method with good results.
Key words:
Aortitis; Aortic valve; Heart valve prosthesis implantation; Cardiac surgical procedures; Aortic root replacement
Contributor Information
XU Zhi-yun
Department of Cardiothoracic Surgery, Changhai Hospital , Second Military Medical University, Shanghai 200433, China
ZOU Liang-jian
Department of Cardiothoracic Surgery, Changhai Hospital , Second Military Medical University, Shanghai 200433, China
HAN Lin
Department of Cardiothoracic Surgery, Changhai Hospital , Second Military Medical University, Shanghai 200433, China
LU Fang-lin
Department of Cardiothoracic Surgery, Changhai Hospital , Second Military Medical University, Shanghai 200433, China
XU Ji-bin
Department of Cardiothoracic Surgery, Changhai Hospital , Second Military Medical University, Shanghai 200433, China
LANG Xi-long
Department of Cardiothoracic Surgery, Changhai Hospital , Second Military Medical University, Shanghai 200433, China
SONG Zhi-gang
Department of Cardiothoracic Surgery, Changhai Hospital , Second Military Medical University, Shanghai 200433, China
TANG Hao
Department of Cardiothoracic Surgery, Changhai Hospital , Second Military Medical University, Shanghai 200433, China