主动脉瓣成形术在继发性主动脉瓣脱垂治疗中的应用

Application of aortic valvuloplasty on the aortic valve prolapse

目的总结主动脉瓣成形术治疗继发性主动脉瓣脱垂合并主动脉瓣关闭不全病例的临床经验和手术结果。方法对12例主动脉瓣脱垂患者行主动脉瓣成形术,同期处理合并病变,分析其手术方法及术后疗效。结果全组病例恢复良好,心功能均达到NYHAI-II级,瓣膜情况良好。结论瓣膜成形术对继发性单纯性的瓣叶/瓣尖脱垂病例是一种良好的手术方式,且近、中期疗效满意。

Objective To review clinical characters and results of aortic valvuloplasty for aortic valve prolapse with aortic valve insufficiency. Methods From 2003 to 2008, 16 patients underwent aortic valvuloplasty and associated lesions were treated during the same time. To analyze the efficacy of surgical methods and postoperative condition. Results The whole group of cases had a good recovery, cardiac function had reached NYHA I-II class and condition of aortic valves was good. Conclusions Aortic valvuloplasty is both effective and durable technique for aortic leaflet prolapse repair, and the early and mid-term results of these techniques are satisfactory.