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无冠瓣主动脉窦瘤:成人使用Freestyle生物瓣修复。

Sinus of valsalva aneurysm of the non-coronary cusp: repaired in the adult with a Freestyle bioprosthesis.

作者信息

Del Campo Carlos, Weinberg David M

机构信息

Department of Cardiovascular and Thoracic Surgery, St. Jude Medical Center, Fullerton, California 92835, USA.

出版信息

Tex Heart Inst J. 2003;30(3):202-4.

Abstract

Aneurysms of the sinuses of Valsalva, when detected before rupture, are repaired electively. When they are small, they are most frequently repaired by direct closure; when they are large, they are repaired with a prosthetic patch. When they are associated with prolapse of the corresponding aortic cusp and aortic insufficiency, valve replacement is usually performed concomitantly. We present the case of a patient in whom both abnormalities were corrected by implantation of a Freestyle bioprosthesis, the wall of which completely excluded the aneurysm of the sinus of Valsalva. The patient remains asymptomatic 18 months after surgery.

摘要

在瓦氏窦瘤破裂前被检测到时,可择期进行修复。瘤体较小时,最常通过直接缝合进行修复;瘤体较大时,则用人工补片进行修复。当它们与相应主动脉瓣叶脱垂和主动脉瓣关闭不全相关时,通常会同时进行瓣膜置换。我们报告了一例患者,通过植入Freestyle生物假体同时纠正了这两种异常情况,该假体壁完全排除了瓦氏窦瘤。患者术后18个月仍无症状。

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Saccular aneurysm of the left sinus of Valsalva in a Freestyle bioprosthesis.
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本文引用的文献

1
Sinus of Valsalva aneurysm or fistula: management and outcome.瓦氏窦瘤或瘘管:治疗与结果
Ann Thorac Surg. 1999 Nov;68(5):1573-7. doi: 10.1016/s0003-4975(99)01045-0.
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Ann Thorac Surg. 1986 Mar;41(3):284-6. doi: 10.1016/s0003-4975(10)62770-1.
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Cardiovascular manifestations of Marfan's syndrome in the young.
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