中国胸心血管外科临床杂志

中国胸心血管外科临床杂志

主动脉根部疾病手术选择的研究进展

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一直以来复合带瓣血管的全根置换术(TRR)成为了大多数主动脉根部疾病的治疗标准。但随着技术的进步,人们对主动脉根部解剖及血流动力学的了解加深,保留瓣膜的主动脉根部置换术(VSRR)和个性化的主动脉根部外部支持(PEARS)应运而生。根据不同的主动脉根部疾病选择合适的术式尤为重要。评估这三种手术方式时,必须以夹层的治疗与预防为主并且要平衡患者的短期获益和长期风险。本文就主动脉相关疾病及手术的选择问题上加以概述。

Total root replacement (TRR) with a valved conduit has long been the treatment standard for most aortic root diseases. However, with advances in technology, a deeper understanding of aortic root anatomy and hemodynamics has emerged, with valve sparing root replacement (VSRR) and personalised external aortic root support (PEARS). It is especially important to choose the appropriate procedure for different aortic root diseases. When evaluating these three surgical procedures, it is necessary to focus on the treatment and prevention of the dissection and balance the short-term and long-term risks of the patients. This article outlines the selection of aortic-related diseases and surgery.

关键词: 复合带瓣血管的全根置换术; 保留瓣膜的主动脉根部置换术; 个性化的主动脉根部外部支持

Key words: Total root replacement (TRR); valve sparing root replacement (VSRR); personalised external aortic root support (PEARS)

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