[升主动脉瘤的Bentall手术治疗：附14例报告]

[Surgical treatment of ascending aortic aneurysm by Bentall's procedure: report of 14 cases].

作者信息

Wang Zhen-Kang, Wang Wu-Jun, Cai Kai-Can, Zou Xiao-Ming, Zhang Li-Xi, Miao Dong-Mei

机构信息

Department of Cardiothoracic Surgery, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China.

出版信息

Di Yi Jun Yi Da Xue Xue Bao. 2002 Nov;22(11):1047-8.

PMID:12433649

Abstract

OBJECTIVE

To review our experience in surgical treatment of ascending aortic aneurysm (AAA) with aortic insufficiency in 14 cases of by Bentall's procedure.

METHODS AND RESULTS

All the patients underwent replacement of the ascending aorta and aortic valve with composite valved vascular prosthesis and received direct implantation of the aortic graft of the coronary orifices (Bentall's procedure) with satisfactory results. Five patients had ascending aortic dissection and 4 had typical Marfan's syndrome. All the patients suffered severe aortic insufficiency while 2 had mitral insufficiency. Coronary orifices were implanted in situ in 13 cases while in 1 case, Cabrol's method was adopted. No death occurred during the surgery and in the subsequent follow-up, and all the patients had good recovery.

CONCLUSION

Bentall's procedure can be effective in the treatment of AAA with aortic insufficiency.

摘要

目的

回顾我们采用Bentall手术治疗14例升主动脉瘤（AAA）合并主动脉瓣关闭不全的经验。

方法与结果

所有患者均采用带瓣血管复合人工血管置换升主动脉和主动脉瓣，并直接植入冠状动脉开口的主动脉移植物（Bentall手术），效果满意。5例患者有升主动脉夹层，4例有典型的马凡综合征。所有患者均有严重的主动脉瓣关闭不全，2例有二尖瓣关闭不全。13例原位植入冠状动脉开口，1例采用Cabrol法。手术及后续随访期间无死亡发生，所有患者恢复良好。