摘要
目的 :总结瓣膜性心脏病伴缺血性心脏病手术治疗的早期效果和经验 ,以期提高疗效。方法 :11例患者中 ,行主动脉瓣置换术 4例 ,二尖瓣置换术 2例 ,二尖瓣和主动脉瓣双瓣置换术 1例 ,主动脉带瓣管道置换 2例 ,二尖瓣成形术 1例和三尖瓣成形术 1例 ;搭 1支桥 4例 ,搭 2支桥 1例 ,3支桥 3例 ,4支桥 3例 ,平均 (2 .5±1.3)支。结果 :11例无手术早期死亡 ,痊愈出院 ;随访 2~ 16 (平均 6 .3)个月 ,心绞痛症状消失 ,心功能明显改善。结论 :对年龄 >5 0岁瓣膜病患者或具有冠心病高危因素患者 ,应行冠状动脉造影检查 ;彻底纠正心脏病变 ,加强心肌保护 ;妥善处理术后并发症 。
Objective:To review the experience of the simultaneous valvular surgery with coronary artery bypass grafting (CABG). Methods:Combined valvular and myocardial revascularization operations were performed in 11 patients, 4 aortic valves and 2 mitral valves and 1 double valve were replaced and valvular plasty was done in 2 patients. Cabrol technique was used in 2 patients with a composite valve graft, the stenosis of left coronary arterial ostia or right coronary arterial ostia were found were found, emergency CABG were performed. The one graft was done in 4 patients, two graft in 1 patient, and three graft in 3 and four graft in 3. The average number of grafts was 2.5 .Results:No patients died of operation. All patients were discharged and associated with improved heart function. Conclusion:For patients with valvular heart disease,older than 50 years,or have high risk factor for ischemic heart disease,coronary angiography is necessary. Combined valvular and myocardial revascularization operations should be simultaneously performed.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2003年第3期158-159,共2页
Journal of Clinical Cardiology