Blanco G, Adam A, Carlo V
Ann Surg. 1976 Feb;183(2):174-8. doi: 10.1097/00000658-197602000-00015.
Annulo-aortic ectasia has attracted much surgical attention in the last 20 years. Replacement of the aortic valve and ascending aorta from the valve ring to just proximal to the innominate artery eliminates most, if not all, the pathologically involved tissue. Composite valve-Dacron tube grafting, plus elective saphenous vein grafts from the coronary orifices to the Dacron tube or distal aortic wall, provide a safe systematic approach to this entity. A review of surgical techniques and a description of a successful case employing this method are presented.
在过去20年中,主动脉瓣环扩张症已引起了外科界的广泛关注。从瓣环至无名动脉近端置换主动脉瓣和升主动脉,即使不能消除所有病变组织,也能消除大部分病变组织。复合瓣膜-涤纶人工血管移植术,加上选择性地将冠状动脉口与涤纶人工血管或主动脉远端壁进行大隐静脉移植,为治疗该疾病提供了一种安全的系统方法。本文将对手术技术进行综述,并描述一个采用该方法的成功病例。