先天性主动脉瓣狭窄的外科治疗

我院自1984年7月至1995年3月共收治48例先天性主动脉瓣狭窄患者，其中30例行外科治疗，占62．5％。22例主动脉瓣替换术（73．3％）中，同种动脉瓣13例，机械瓣9例。主动脉瓣交界切开术8例。术后随访1月至9年，每半年一次。治疗效果：术后早期死亡2例，死亡率6．7％；晚期死亡1例，术后1年死于感染性心内膜炎，占33％；27例随诊良好。结合先天性主动脉瓣狭窄的临床征象，对其诊断及外科治疗进行讨论。

Surgical Treatment of Congenital Valvular Aortic Stenosis

48 cases of congenital valvular aortic stenosis admitted to Anzhen Hospital from June , 1984 to March, 1995 were reported. of which, 30 cases were operated (62. 5% ). Aortic valvular replacement was for in 22 cases (73. 3% ), of which, aortic homografts were used in 13 cases and artificial mechanical prosthesis in 9 cases Aortic valvulotmp was done in 8 cases. Postoperative follow-ups were from 1 month to 9 years, generally once ev ery half year. Result of surgery: 27 so were good. There were 2 early postoperative death (mortality rate 6. 7% ); and 1 late death due to iofective endocarditis 1 year after the operation (late mortality rate 3. 3% ). Diagnosis and surgical treatment of valvular aortic stenosis according to clinical characteristics were discussed.