创伤后晚期主动脉瓣损伤和根部假性动脉瘤的新型修复方法。

Novel repair for late posttraumatic aortic valve injury and root pseudoaneurysm.

作者信息

Venturini Andrea, Ascione Raimondo, Ciulli Franco, Polesel Elvio, Moretti Roberto, Angelini Gianni D, Zussa Claudio

机构信息

Department of Cardiac Surgery, Ospedale Civile Umberto I, Venezia Mestre, Italy.

出版信息

Ann Thorac Surg. 2006 Jan;81(1):350-2. doi: 10.1016/j.athoracsur.2004.09.018.

DOI:10.1016/j.athoracsur.2004.09.018

PMID:16368403

Abstract

We report a case of posttraumatic aortic valve regurgitation and pseudoaneurysm of the aortic root diagnosed 22 months after a road traffic accident. The surgical treatment consisted of exclusion of the pseudoaneurysm with direct closure of the entry tear in the right coronary sinus followed by insertion of a Toronto stentless prosthesis (St. Jude Medical, St. Paul, MN). This surgical approach aimed to cover the repaired entry tear ensuring exclusion of the site. Recovery was uneventful and 12 month follow-up was unremarkable.

摘要

我们报告一例道路交通事故22个月后诊断出的创伤后主动脉瓣反流和主动脉根部假性动脉瘤病例。手术治疗包括排除假性动脉瘤，直接闭合右冠状动脉窦的入口撕裂，随后植入多伦多无支架人工瓣膜（圣犹达医疗公司，明尼苏达州圣保罗）。这种手术方法旨在覆盖修复后的入口撕裂，确保该部位被排除在外。恢复过程顺利，12个月的随访结果无异常。