Akpinar B, Sanisoğlu I, Konuralp C, Akay H, Güden M, Sönmez B
Department of Cardiovascular Surgery, Florence Nightingale Hospital, Istanbul, Turkey.
Tex Heart Inst J. 1999;26(3):195-7.
Over the years, many surgical methods have evolved for the treatment of ascending aortic aneurysm in combination with aortic valve regurgitation; however, precise guidelines for optimal surgical techniques for varying presentations have not been defined. We describe the use of a stentless porcine bioprosthesis (Medtronic Freestyle) in a patient with an ascending aortic aneurysm and aortic regurgitation. We used the complete root replacement method, and anastomosed a Dacron graft (Hemashield) between the bioprosthetic valve and the native aorta to replace the distal part of the aneurysm.
多年来，针对升主动脉瘤合并主动脉瓣反流的治疗，已经发展出了多种手术方法；然而，对于不同临床表现的最佳手术技术，尚未明确精确的指导原则。我们描述了在一名患有升主动脉瘤和主动脉反流的患者中使用无支架猪生物瓣膜（美敦力Freestyle）的情况。我们采用了完整根部置换法，并在生物瓣膜和天然主动脉之间吻合了涤纶人工血管（Hemashield）以替代动脉瘤的远端部分。
