Reconstruction of Bicuspid Aortic Valve With Autologous Pericardium : Usefulness of Tricuspidization
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- Ozaki Shigeyuki
- Department of Cardiovascular Surgery, Toho University Ohashi Medical Center
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- Kawase Isamu
- Department of Cardiovascular Surgery, Toho University Ohashi Medical Center
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- Yamashita Hiromasa
- Department of Cardiovascular Surgery, Toho University Ohashi Medical Center
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- Uchida Shin
- Department of Cardiovascular Surgery, Toho University Ohashi Medical Center
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- Nozawa Yukinari
- Department of Cardiovascular Surgery, Toho University Ohashi Medical Center
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- Takatoh Mikio
- Department of Cardiovascular Surgery, Toho University Ohashi Medical Center
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- Hagiwara So
- Department of Cardiovascular Surgery, Toho University Ohashi Medical Center
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- Kiyohara Nagaki
- Department of Cardiovascular Surgery, Toho University Ohashi Medical Center
書誌事項
- タイトル別名
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- Reconstruction of Bicuspid Aortic Valve With Autologous Pericardium
- – Usefulness of Tricuspidization –
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Background: This study describes the surgical treatment of bicuspid aortic valve with original aortic valve reconstruction. Methods and Results: Aortic valve reconstruction was done in 102 patients with bicuspid aortic valve from April 2007 through September 2011. Thirty-four patients with ascending aortic diameter >45mm underwent hemi-arch aortic replacement concomitantly. Seventy-seven patients had aortic stenosis, and 25 had aortic regurgitation (AR). Mean age was 63.7±10.0 years old. There were 55 men and 47 women. Harvested pericardium is treated with 0.6% glutaraldehyde solution. The distance between commissures is measured with an original sizing instrument. For bicuspid valve with raphe, the raphe is considered as a commissure in order to measure the distance between each commissure. Without a raphe, we create a new annular margin and commissure using coronary ostium and the sizing instrument as a guide. Then, pericardium is trimmed with original template. Three cusps are sutured independently. The preoperative averaged peak pressure gradient of 71.1±39.0mmHg was decreased to 16.2±8.8, 13.3±6.0, and 13.9±5.6mmHg, respectively 1 week, 1 year, and 3 years after operation. AR was trivial. One reoperation was recorded. Mean follow-up was 733 days. There were 5 late mortalities. No thromboembolic event was recorded. Conclusions: Medium-term results were excellent. Tricuspidization gave good opening and closure of aortic valve with excellent hemodynamics. (Circ J 2014; 78: 1144–1151)<br>
収録刊行物
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- Circulation Journal
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Circulation Journal 78 (5), 1144-1151, 2014
一般社団法人 日本循環器学会
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詳細情報 詳細情報について
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- CRID
- 1390282680083849856
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- NII論文ID
- 130003391085
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- NII書誌ID
- AA11591968
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- COI
- 1:STN:280:DC%2BC2crisFaguw%3D%3D
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- ISSN
- 13474820
- 13469843
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- NDL書誌ID
- 025412227
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- PubMed
- 24614492
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- Crossref
- PubMed
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可