Remodeling+Ring(改良Yacoub)技术治疗二叶式主动脉瓣反流合并升主动脉瘤一例

Remodeling+Ring(modified Yacoub)technique for the treatment of bicuspid aortic valve regurgitation with ascending aortic aneurysm:A case report

二叶式主动脉瓣患者常合并主动脉扩张,若主动脉瓣质量良好,可行保留主动脉瓣的主动脉根部置换术。本文报道了1例35岁二叶式主动脉瓣反流合并升主动脉瘤男性患者行Remodeling+Ring(改良Yacoub)手术。患者术后第3 d复查心脏彩色超声提示主动脉瓣无反流,术后第6 d顺利出院。Remodeling+Ring手术保证了主动脉瓣叶的生理性运动,解决了扩大的瓣环,避免了更换瓣膜带来的问题,明显改善了患者的生活质量,值得推广。

Patients with bicuspid aortic valve are often complicated with aortic dilatation.If the aortic valve is of good quality,aortic root replacement with aortic valve preservation is feasible.A 35-year-old male patient with bicuspid aortic regurgitation complicated with ascending aortic aneurysm underwent Remodeling+Ring(modified Yacoub)operation.Echocardiography showed that there was no aortic regurgitation on the 3 rd day after operation,and the patient was discharged satisfactorily on the 6 th day after operation.Remodeling+Ring surgery ensures the physiological movement of the aortic valve,solves the enlarged annulus,avoids the problems caused by valve replacement,and significantly improves the quality of life of patients,which is worth popularizing.