Yotsumoto Daisuke, Iguro Yoshifumi, Ueno Takayuki, Matsumoto Kazuhisa, Sakata Ryuzo
Second Department of Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, 8-35-1 Sakuragaoka, Kagoshima 890-8520, Japan.
Gen Thorac Cardiovasc Surg. 2007 Aug;55(8):331-4. doi: 10.1007/s11748-007-0138-2.
We report the case of a 54-year-old woman who, 32 years previously, had undergone replacement of the ascending aorta by the inclusion method with a Starr-Edwards ball valve prosthesis and recently underwent aortic root re-reconstruction by the Bentall method. Routine chest radiography revealed dilatation of the mediastinum, and computed tomography revealed an aneurysm of the ascending aorta. At reoperation, although the cloth covering the cage of the Starr-Edwards ball valve prosthesis appeared worn and some pannus formation was seen, the Starr-Edwards ball valve was functioning normally. The aortic root was replaced with a composite graft that consisted of a 23-mm St. Jude bileaflet prosthesis and a 24-mm Hemashield gold graft. The patient was discharged from the hospital in good condition 25 days after surgery.
我们报告了一例54岁女性患者的病例，该患者在32年前采用包埋法使用Starr-Edwards球瓣假体进行了升主动脉置换，最近又采用Bentall法进行了主动脉根部再次重建。常规胸部X线检查显示纵隔增宽，计算机断层扫描显示升主动脉瘤。再次手术时，尽管覆盖Starr-Edwards球瓣假体笼架的织物看起来有磨损且可见一些血管翳形成，但Starr-Edwards球瓣功能正常。主动脉根部用一个由23毫米圣犹达双叶瓣假体和一个24毫米Hemashield金移植物组成的复合移植物进行了置换。患者术后25天康复出院。
