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DOI: 10.1055/s-0029-1241910
© Georg Thieme Verlag KG Stuttgart · New York
Qualitätsparameter für den Aortenklappenersatz
Parameters of quality for aortic valve replacementPublication History
eingereicht: 9.9.2009
akzeptiert: 1.10.2009
Publication Date:
15 October 2009 (online)
![](https://www.thieme-connect.de/media/dmw/2009S06/lookinside/thumbnails/10.1055-s-0029-1241910-1.jpg)
Zusammenfassung
Die Vor- und Nachteile von mechanischen und biologischen Herzklappenprothesen ebenso wie die Komplikationen im Verlaufe von Langzeitstudien sind verantwortlich für die Qualität eines Aortenklappenersatzes. Die anatomischen Gegebenheiten wie enge Aortenwurzel, gleichzeitiges Vorhandensein einer koronaren Herzerkrankung oder reduzierte linksventrikuläre Funktion beeinträchtigen die relativ guten Operationsergebnisse und erfordern eine chirurgische Intervention oder die Verwendung von gerüstfreien Klappenprothesen.
Summary
Advantages and disadvantages of mechanical or biological heart valve prostheses in combination with complications during long-term follow-up are responsible for the quality of aortic valve replacement. Anatomical conditions like narrow aortic root, concomitant coronary artery disease or reduced left ventricular function impair the quite good surgical results necessitating surgical intervention or the use of stentless valve implants.
Schlüsselwörter
Aortenklappenersatz - Prothesen-Patienten-Mismatch - Herzchirurgie - stentless-Klappen - Qualitätssicherung
Keywords
aortic valve replacement - prosthesis-patient mismatch - cardiac surgery - stentless prosthesis - quality management
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Prof. Dr. Herbert O. Vetter
Klinik für Herz- und Thoraxchirurgie, Herzzentrum
Wuppertal, Helios-Klinikum
Arrenberger Straße
20
42117 Wuppertal
Phone: 0202/896-5800
Fax: 0202/896-5807
Email: herbert.vetter@helios-kliniken.de