三尖瓣下移畸形重建技术的进展之锥形(Cone)重建

Cone Reconstruction for Patients with Ebstein's Anomaly

三尖瓣下移畸形的瓣膜成形技术迄今已有多种,锥形(Cone)重建技术因其能够最大程度的完成解剖矫治,瓣叶与瓣叶的对合能够形成舒张期中心血流,是近些年来逐渐受到外科医生重视的一种术式。我们详细检索了国内外锥形重建的相关文献,对其发展历史、技术要点以及预后评价结合本单位经验等进行综述。

So far, there have been several kinds ofvaNuloplasty techniques for Ebstein＇s anomaly. Cone reconstruc- tion which was developed by Da Silver and his coworkers has attracted much attention from worldwide cardiac surgeons. Because this technique could reconstruct the leaflet to leaflet coapatation which permits central blood flow during diastole period. It is probably the most efficient anatomical correction method. We make a comprehensive literature retrieval concerning the Cone reconstruction for Ebstein＇s anomaly, Its development, key points of technique skills and prognosis evaluation are reviewed meticulously.