Glower D D, Bashore T M, Spritzer C E
Department of Surgery, Duke University Medical Center, Durham, NC 27710.
Ann Thorac Surg. 1992 Aug;54(2):368-70. doi: 10.1016/0003-4975(92)91406-y.
Concurrent aortic stenosis and patent ductus arteriosus are not infrequent in children but are rare in adults. An adult case is described with diagnosis by cardiac catheterization and magnetic resonance imaging and with management by combined aortic valve replacement and patent ductus ligation. Review of the English-language literature produced only 8 such cases in adults, 2 of which were managed by a single-stage operation. Successful diagnosis in the adult requires careful observation at cardiac catheterization, and simultaneous valve replacement and ductus ligation may be a useful option in patient management.
儿童中主动脉瓣狭窄与动脉导管未闭并存的情况并不少见，但在成人中则较为罕见。本文描述了一例成人病例，通过心导管检查和磁共振成像进行诊断，并采用主动脉瓣置换术和动脉导管结扎术联合治疗。回顾英文文献，仅发现8例成人此类病例，其中2例采用一期手术治疗。成人患者的成功诊断需要在心导管检查时仔细观察，同时进行瓣膜置换和导管结扎可能是患者管理中的一个有用选择。
