Magee A G, Blauth C I, Qureshi S A
Department of Pediatric Cardiology, Guy's Hospital, London, England.
Ann Thorac Surg. 2001 Feb;71(2):713-5. doi: 10.1016/s0003-4975(00)02357-2.
Two patients, aged 42 and 44 years old, presented with the combination of aortic valve stenosis and coarctation. To avoid potential problems associated with one stage repair, both patients underwent successful endovascular stent implantation for coarctation followed within 2 weeks by aortic valve replacement using pulmonary autografts (Ross operation). Spiral thoracic computed tomographic scans were performed within 1 week of stent implantation to ensure the absence of aneurysm formation related to the stent before cardiopulmonary bypass.
两名患者,年龄分别为42岁和44岁,表现为主动脉瓣狭窄合并主动脉缩窄。为避免一期修复相关的潜在问题,两名患者均成功接受了主动脉缩窄的血管内支架植入术,随后在2周内使用自体肺动脉瓣(Ross手术)进行主动脉瓣置换。在支架植入后1周内进行螺旋胸部计算机断层扫描,以确保在体外循环前不存在与支架相关的动脉瘤形成。