ZHANG Huaijun , SONG Yunhu , MA Weiguo , et al .
  • 1Department of Cardiac Surgery, Cardiac Institute and Fu Wai Hospital, Chinese Academy of Medical Sciences &;
  • Peking Union Medical College, Beijing 100037, P.R.China. 2.Department of Cardiac Surgery, Lianyungang No 1. Municipal People’s Hospital, Lianyungang 222003, Jiangsu, P.R.China;
Aortic valve prolapse; Aortic valvuloplasty; Selfpericardial patch heightening
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Objective To summarize the clinical experiences of using selfpericardial patch heightening to treat aortic valve prolapse. Methods From May 2000 to July 2007, seventeen patients with aortic valve prolapse were treated by selfpericardial patch heightening. Fifteen cases had right coronary cusp prolapse, one had left coronary cusp prolapse, and one had no coronary cusp proplapse. There were 10 cases with moderate aortic regurgitation and 7 with severe regurgitation. Autologous pericardium was continuously sutured on the proplapsed cusp by 5-0 or 6-0 Prolene suture. The transesophageal echocardiography(TEE) showed that there was few or mild aortic regurgitation during operation. Preoperative and postoperative echocardiography results were compared. Results The comparison between preoperative and postoperative echocardiography results showed that postoperative left ventricular enddiastolic diameter reduced obviously(38.3±9.6 mm vs. 47.2±10.3 mm，P=0.013)；postoperative aortic valve systolic pressure difference reduced（9.8±5.6 mm Hg vs. 10.3±5.3 mm Hg，P=0.792）; postoperative aortic valve diastolic pressure difference reduced obviously(45.7±13.6 mm Hg vs. 78.4±19.9 mm Hg，P= 0.000). Echocardiographic examination before discharge showed that 4 cases had no obvious aortic regurgitation, 9 had mild aortic regurgitation and 4 had moderate aortic regurgitation. The average followup time was 32 months(4.74 months). One case underwent aortic valve replacement because of severe aortic regurgitation 4 months later after the operation, and the rest needed no second operation. Conclusion Using selfpericardial patch heightening to treat aortic valve prolapse is a simple operative method, and it is good for young patients or small aortic annulus.

Citation： ZHANG Huaijun,SONG Yunhu,MA Weiguo,et al .. Using SelfPericardial Patch Heightening to Treat Aortic Valve Prolapse. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2009, 16(4): 259-261. doi: Copy