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[与主动脉瓣关闭不全和冠状动脉开口狭窄相关的主动脉炎综合征:1例活动期手术治疗成功的病例]

[Aortitis syndrome associated with aortic regurgitation and coronary ostial stenosis: a case of successful surgical treatment at the active stage].

作者信息

Yamashiro M, Tanio N, Tanaka H, Yamada M, Takaba T, Ri M

机构信息

Department of Surgery, School of Medicine, Showa University.

出版信息

Kyobu Geka. 1991 Nov;44(12):1020-2.

PMID:1758103
Abstract

A 24-year-old woman with aortic regurgitation and ostial stenosis of coronary artery due to aortitis syndrome was reported. She was admitted to the hospital with anterior chest pain. Retrograde aortogram showed aortic regurgitation and selective coronary angiogram revealed severe ostial stenosis. In spite of steroid therapy, chest pain was not controlled. In spite of the active stage, she underwent aorto-coronary bypass and aortic valve replacement. Intra-aortic balloon pumping (IABP) was necessary to wean from cardio-pulmonary bypass, but she recovered well and no complication was recognized after operation.

摘要

报告了一名24岁因大动脉炎综合征导致主动脉瓣关闭不全和冠状动脉开口狭窄的女性患者。她因前胸疼痛入院。逆行主动脉造影显示主动脉瓣关闭不全,选择性冠状动脉造影显示严重的冠状动脉开口狭窄。尽管进行了类固醇治疗,但胸痛仍未得到控制。尽管处于疾病活动期,她仍接受了主动脉-冠状动脉搭桥术和主动脉瓣置换术。需要主动脉内球囊反搏(IABP)来撤离体外循环,但她恢复良好,术后未发现并发症。

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