Agny M, Cobanoglu A
Division of Cardiopulmonary Surgery, Oregon Health Sciences University, Portland 97201-3098, USA.
J Card Surg. 1998 Jul;13(4):239-41. doi: 10.1111/j.1540-8191.1998.tb01062.x.
A patient with congenital bicuspid aortic stenosis had an open commissurotomy followed 3 years later by a Manougian's operation along with an aortic valve replacement. Nine years later, due to residual aortic stenosis, a Konno's anterior root enlarging procedure with an aortic valve replacement was successfully done. Good relief of aortic and subaortic stenosis and the absence of significant gradient across the left ventricular outflow tract led us to believe that successful and effective relief could be obtained by adding a Konno-type of enlargement to a previously performed posterior enlargement procedure.
一名先天性二叶式主动脉瓣狭窄患者接受了开放性瓣膜交界切开术，3年后进行了马努吉安手术并置换了主动脉瓣。9年后，由于残留主动脉瓣狭窄，成功实施了康诺前根部扩大术并置换了主动脉瓣。主动脉瓣及主动脉瓣下狭窄得到明显缓解，左心室流出道无明显压差，这使我们相信，在先前进行的后根部扩大术基础上增加康诺式扩大术，能够成功有效地缓解狭窄。
