Takayasu动脉炎引起主动脉瓣反流的外科治疗进展

Progress in surgical treatment of aortic regurgitation caused by Takayasu arteritis

Takayasu动脉炎(Takayasu arteritis,TA)是一种以累及主动脉及分支为主的原发性、慢性非特异性炎症,还可以影响肺动脉及其分支,造成相应部位血管的狭窄或闭塞。Takayasu动脉炎还会累及主动脉瓣以及其它心脏瓣膜的正常功能,主要表现为瓣膜关闭不全。Takayasu动脉炎造成主动脉瓣反流主要通过外科手术治疗。本文系统回顾了Takayasu动脉炎累及主动脉瓣的检查技术、手术时机、手术方式及预后。

Takayasu arteritis(TA)is a primary,chronic,non-specific,inflammatory disease of the aorta and its larger branches.The pulmonary artery trunk and its branches could be impacted by TA,which could cause stenosis or occlusion of lesion vessels.TA also affects the normal function of the aortic valve and other heart valves,mainly due to valvular insufficiency.Aortic regurgitation caused by TA is mainly treated by surgical operation.In this review,the examination technique,operation timing,operation method and prognosis of aortic valve involved in TA are discussed systematically.