Minami Hiroya, Wakita Noboru, Kawanishi Yujiro, Kitano Ikuro, Sakata Masahiro, Shida Tsutomu
Department of Cardiovascular Surgery, Kobe Rosai Hospital, 4-1-23 Kagoikedori, Chuo-ku, Kobe 651-0053, Japan.
Jpn J Thorac Cardiovasc Surg. 2002 Jan;50(1):43-5. doi: 10.1007/BF02913487.
A 26-year-old man who underwent aortic valve replacement for aortic regurgitation due to Takayasu's arteritis 2 years earlier experienced left amaurosis persisting for some minutes. Computed tomography showed aneurysmal dilation of the ascending aorta to a diameter of 60 mm and occlusion of the left carotid artery. Cardiac echography showed perivalvular leakage. Following administration of a calcium antagonist, the patient's amaurosis subsided and brain bloodstream scintigraphy showed no abnormalities. We resected the aneurysm instead of using Bentall's operation. Following an uncomplicated postoperative course, the patient was discharged 21 days after surgery and echocardiography has shown no perivalvular leakage to date.
一名26岁男性，两年前因高安动脉炎导致主动脉瓣反流接受了主动脉瓣置换术，现出现左侧黑矇持续数分钟。计算机断层扫描显示升主动脉瘤样扩张，直径达60毫米，左侧颈动脉闭塞。心脏超声检查显示瓣周漏。给予钙拮抗剂后，患者的黑矇症状消退，脑血流闪烁显像未显示异常。我们切除了动脉瘤，而非采用Bentall手术。术后过程顺利，患者术后21天出院，迄今为止心脏超声检查未显示瓣周漏。
