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Date Published: 02/11/2020
Abstract Views: 291
Views PDF: 242
DOI: https://doi.org/10.47972/vjcts.v20i.86
Issue
Vol. 20
Section
Research Article
How to Cite
Hung, N. T. ., Huu, N. C. ., Tien, D. A. ., Hieu, N. T. ., Dung, L. T. ., Thuy, N. T. ., Viet, N. B. ., Dat, P. T. ., Linh, N. T. H. ., Hung, N. Đỗ ., Long, N. T. . ., Nguyen, P. T. ., Phong, N. B. ., & Thanh, L. N. . (2020). Kết quả ngắn hạn áp dụng kỹ thuật tái tạo van động mạch chủ bằng màng ngoài tim tự thân theo phương pháp Ozaki trong điều trị ngoại khoa bệnh lý van động mạch chủ. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 20, 52-57. https://doi.org/10.47972/vjcts.v20i.86

Kết quả ngắn hạn áp dụng kỹ thuật tái tạo van động mạch chủ bằng màng ngoài tim tự thân theo phương pháp Ozaki trong điều trị ngoại khoa bệnh lý van động mạch chủ

Ngo Thanh Hung, Nguyen Cong Huu, Do Anh Tien, Nguyen Trung Hieu, Le Tien Dung, Nguyen Tran Thuy, Nguyen Bang Viet, Pham Thanh Dat, Ngo Thi Hai Linh, Nguyễn Đỗ Hung, Nguyen Thai Long, Phan Thao Nguyen, Nguyen Ba Phong, Le Ngoc Thanh

Main Article Content

Abstract

Aortic valve disease is usually treated by prosthetic valve replacement. We have performed aortic valve plasty (AVP) for 21 patients from July 2017 through March 2018 using glutaraldehyde-treated autologous pericardium. Thirteen patients had aortic stenosis (AS), and 8 patients had aortic regurgitation (AR). Three patients showed bicuspid aortic valves, and one patient showed infective endocarditis. There were 13 males and 8 females. Their mean age was 58.6 ± 10.5 years old. First, diseased leaflets excised. Then, the distance between each commissure was measured. The new leaflet was trimmed with an original template from a glutaraldehyde-treated autologous pericardium sample. Finally, the annular margin of the pericardial leaflet was running sutured to each annulus. There was one patient died of postoperative because bleeding. One patient was returned to conventional bioprosthesis aortic valve replacement surgery. Intraoperative trans-esophageal echocardiography (TEE) showed no or mild AR. Pressure gradient measured through aortic valve intraoperatively and 1 to 2 weeks after surgery were 19.3 ± 4.7mmHg and 18.7 ± 4.2mmHg, respectively.No patient required re-operation.*

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References

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