Koshino T, Morishita K, Tamiya Y, Fukada J, Koushima R, Abe T
Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo 060-8556, Japan.
Ann Thorac Cardiovasc Surg. 1999 Jun;5(3):202-5.
The patient was an 18-year-old man who had been diagnosed as having a bicuspid aortic valve and dilatation of the ascending aorta six years previously. As he grew up, aneurysmal change of the ascending aorta and hypertension in the upper body gradually progressed. Preoperative evaluation showed annulo-aortic ectasia and the following congenital abnormalities: bicuspid aortic valve, hypoplastic aortic arch, and coarctation of the aorta. Composite graft replacement and extended total aortic arch replacement were carried out.
患者为一名18岁男性，6年前被诊断为二叶式主动脉瓣和升主动脉扩张。随着他的成长，升主动脉的动脉瘤样改变和上身高血压逐渐进展。术前评估显示主动脉瓣环扩张以及以下先天性异常：二叶式主动脉瓣、主动脉弓发育不全和主动脉缩窄。进行了复合移植物置换和扩大全主动脉弓置换。
