Shin H, Katogi T, Yozu R, Kawada S
Division of Cardiovascular Surgery, Keio University, Tokyo, Japan.
Ann Thorac Surg. 1999 Apr;67(4):1147-8. doi: 10.1016/s0003-4975(99)00081-8.
We successfully treated obstruction of the main coronary artery, not aortic valve leaflet adhesion to the intimal shelf, complicating supravalvular aortic stenosis by modifying the Brom aortoplasty. An autologous pericardial patch was used to enlarge the left main coronary artery as well as the stenotic aorta. This modification allows simple and effective restoration of coronary blood flow, while maintaining the Brom procedure's merit of achieving anatomic geometry of the aortic root in such patients.
我们通过改良布罗姆主动脉成形术成功治疗了主要冠状动脉阻塞，而非主动脉瓣叶与内膜架粘连这一导致瓣上主动脉狭窄复杂化的问题。采用自体心包补片扩大左冠状动脉主干以及狭窄的主动脉。这种改良能够简单有效地恢复冠状动脉血流，同时保持布罗姆手术在这类患者中实现主动脉根部解剖结构的优点。
