主动脉窦瘤手术修复的长期结果。
The long-term outcome of a surgical repair of sinus of valsalva aneurysm.
作者信息
Naka Y, Kadoba K, Ohtake S, Sawa Y, Hirata N, Nishimura M, Matuda H
机构信息
First Department of Surgery, Osaka University Medical School, Suita City, Japan.
出版信息
Ann Thorac Surg. 2000 Sep;70(3):727-9. doi: 10.1016/s0003-4975(00)01499-5.
BACKGROUND
In order to clarify the long-term outcome after surgical repair of a sinus of Valsalva aneurysm, we retrospectively assessed the operative results for patients treated in our institute.
METHODS
The subjects were 27 patients who had undergone an operation between 1958 and 1996. For associated aortic regurgitation (AR) aortic valve repair was performed in 13 patients, 12 of whom had a ventricular septal defect (VSD); and an aortic valve replacement was performed in 3 patients, 1 of whom had a VSD.
RESULTS
Five of the 13 patients who had aortic valve repair needed aortic valve replacement because AR developed after a period of between 7 and 13 years; those cases were complicated by VSD. Another 2 patients with mild AR also complicated by VSD are currently under observation.
CONCLUSIONS
Although the postoperative outcome of the aortic valve repairs was good, cases that were complicated by VSD plus associated AR tended to develop AR later after surgery. Therefore, careful observation of the postoperative course is necessary.
背景
为阐明瓦氏窦瘤手术修复后的长期预后，我们回顾性评估了在我院接受治疗的患者的手术结果。
方法
研究对象为1958年至1996年间接受手术的27例患者。对于合并主动脉瓣反流（AR）的患者，13例进行了主动脉瓣修复，其中12例合并室间隔缺损（VSD）；3例进行了主动脉瓣置换，其中1例合并VSD。
结果
13例接受主动脉瓣修复的患者中有5例因术后7至13年间出现AR而需要进行主动脉瓣置换；这些病例均合并VSD。另外2例合并轻度AR且也合并VSD的患者目前正在观察中。
结论
尽管主动脉瓣修复术后效果良好，但合并VSD及相关AR的病例术后更容易出现AR。因此，术后需要仔细观察病情。
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