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Operative Behandlung erworbener Aortenklappenfehler

  • H. Dalichau
  • H. G. Borst
Part of the Allgemeine und spezielle Operationslehre book series (OPERATIONSLEHRE, volume 6 / 2)

Zusammenfassung

Die operative Behandlung von Aortenklappenfehlern ist wesentlich später in Angriff genommen worden als die der Mitralleiden, wofür in erster Linie anatomische Gründe maßgebend gewesen sein dürften. Der erste entscheidende Schritt erfolgte 1951 durch Hufnagel, der zur Behandlung einer Aortenklappeninsuffizienz ein Kugelventil in die deszendierende Aorta implantierte. Herzarbeit, Koronarzirkulation und Hirndurchblutung wurden mit dieser Technik jedoch nicht normalisiert. Auch Eingriffen an der Aortenklappe mittels geschlossener Verfahren wie die Beseitigung von Stenosen durch instrumentelle transventrikuläre Valvulotomie (Bailey et al., 1952) oder die Behebung von Insuffizienzen durch externe Raffung des Aortenfundamentes (Taylor et al., 1958) war kein dauerhafter Erfolg beschieden. Erst die Möglichkeit zur Korrektur eines Klappenvitiums unter direkter Sicht mit Hilfe der extrakorporalen Zirkulation machte die Entwicklung spezieller Operationstechniken für Aortenklappenfehler sinnvoll. Während die Behandlung stenotischer Klappen durch scharfe Kommissureröffnung gelegentlich zu guten funktionellen Resultaten führte, bereiteten insuffiziente Aortenklappen weitaus größere operationstechnische Probleme.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1978

Authors and Affiliations

  • H. Dalichau
  • H. G. Borst

There are no affiliations available

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