Kigawa I, Fukuda I, Yamabuki K, Fujii Y, Noguchi Y, Tsutsui T
Department of Cardiovascular Surgery, Tsukuba Medical Center Hospital.
Kyobu Geka. 1992 Dec;45(13):1197-200.
The reported patient was a 60-year-old man with congestive heart failure and recurrent inferior myocardial infarction. The aortogram revealed severe aortic regurgitation, aortic root dilatation and dissection with involvement of the right coronary ostium. Aortic root reconstruction using the valved conduit was performed. The left coronary ostium was reimplanted with Carrel patch method and the right coronary artery was bypassed with the saphenous vein graft. Postoperative course was uneventful and he is asymptomatic in one year after operation. Although aortic root reconstruction with Carrel patch procedure is not widely adopted in Japan, we recommend this procedure because the anastomosis between the coronary ostium and the graft is tight.
该病例报告的是一名60岁男性，患有充血性心力衰竭和复发性下壁心肌梗死。主动脉造影显示严重主动脉瓣关闭不全、主动脉根部扩张并伴有夹层，累及右冠状动脉开口。采用带瓣管道进行了主动脉根部重建。用卡雷尔补片法重新植入左冠状动脉开口，并用大隐静脉移植血管绕过右冠状动脉。术后过程顺利，术后一年他没有症状。虽然卡雷尔补片法进行主动脉根部重建在日本并未广泛采用，但我们推荐此方法，因为冠状动脉开口与移植血管之间的吻合紧密。
