Mangoush Omar, Bahrami Toufan, De Robertis Fabio, Swinburn Jonathan, Banner Nicholas, Yacoub Magdi H, Khaghani Asghar
Harefield Hospital, Harefield, Middlesex, United Kingdom.
Ann Thorac Surg. 2004 Nov;78(5):1821-3. doi: 10.1016/j.athoracsur.2003.07.044.
A 61-year-old man, who had undergone heterotopic heart transplantation, had severe regurgitation through his native aortic valve develop 16 years later, which caused severe heart failure. At operation the regurgitation was found to be due to development of an organized thrombus in the sinuses of Valsalva tethering aortic leaflets. The management of this previously undescribed complication of heterotopic heart transplantation and the implications for other groups of patients (such as those receiving treatment with a left ventricular assist device) are discussed.
一名61岁的男性，曾接受过异位心脏移植，16年后其自身主动脉瓣出现严重反流，导致严重心力衰竭。手术时发现反流是由于在主动脉瓣窦内形成了一个有组织的血栓，束缚了主动脉瓣叶。本文讨论了这种异位心脏移植中此前未描述的并发症的处理方法及其对其他患者群体（如接受左心室辅助装置治疗的患者）的影响。
