二叶式主动脉瓣合并主动脉根部瘤外科治疗的研究进展

The study of surgical treatment of the bicuspid aortic valve with aortic root aneurysm

二叶式主动脉瓣(BAV)是最常见的先天性瓣膜疾病之一,常伴有主动脉瓣狭窄或关闭不全。主动脉病变是BAV的一个重要组成部分,其中主动脉根部到弓部近端出现部分或全部扩张时,以主动脉根部瘤最为常见;而手术方式的选择对于患者预后的影响较大。文章就二叶式主动脉瓣合并根部瘤的解剖基础、病理生理、手术方式及治疗效果等方面进行综述。

Bicuspid aortic valve （BAV） is one of the most common congenital valvular diseases, which is often associated with aortic stenosis or insufficiency. Aortic disease is an important component of BAV, aortic root aneurysm is the most finding when it comes to the dilatation of any or all segments of the proximal aorta from the aortic root to the aortic arch. The choice of operation has a great influence on the prognosis of patients. This article discusses the anatomic basis, pathophysiology, surgical treatment and treatment effects of the bicuspid aortic valve with aortic root aneurysm.