Zubiate P, Kay J H
J Thorac Cardiovasc Surg. 1976 Mar;71(3):415-21.
Six patients with a large aneurysm of the ascending aorta involving the root of the aorta and severe aortic valve insufficiency owing to marked annular dilatation were treated by replacement of the ascending aorta and aortic valve with a composite unit. It was also necessary to transpose the origin of the coronary arteries with the use of saphenous vein grafts. In 3 patients, the aneurysm was due to a chronic dissection. In one patient, the aneurysm extended beyond the arch of the aorta. There were no operative deaths. One patient died suddenly of pulmonary emboli 11 months after surgery. The remaining 5 patients are doing well, 5 months to 4 years postoperatively.
6例升主动脉大动脉瘤累及主动脉根部且因明显的瓣环扩张导致严重主动脉瓣关闭不全的患者，接受了用复合装置置换升主动脉和主动脉瓣的治疗。还需要使用大隐静脉移植来转移冠状动脉的起源。3例患者的动脉瘤是由慢性夹层形成所致。1例患者的动脉瘤延伸至主动脉弓以外。无手术死亡病例。1例患者术后11个月因肺栓塞突然死亡。其余5例患者术后5个月至4年情况良好。
