Almeida Rui, Pinho Teresa, Oliveira Nuno P, Almeida Jorge, Macedo Filipe, Sousa António R, Maciel M Júlia
Department of Cardiology, Hospital S João, Alameda Prof Hernâni Monteiro, 4200-319 Porto, Portugal.
Eur J Echocardiogr. 2008 Sep;9(5):716-9. doi: 10.1093/ejechocard/jen144. Epub 2008 Apr 21.
Simultaneous en bloc replacement of the ascending aorta and aortic valve by a composite valve graft, as first described by Bentall and De Bono in 1968 and with later modifications, has become the standard surgical technique in the treatment of aneurysms of the aortic root associated with severe aortic valve dysfunction. Despite the good surgical results overall, it is still associated with considerable perioperative mortality and with dire complications in the long run. We report a case of a giant aortic pseudoaneurysm compressing the right heart chambers and communicating with the right ventricle presenting as rapidly progressing heart failure a few months after a Bentall operation.
1968年由本塔尔（Bentall）和德博诺（De Bono）首次描述并在后来有所改进的复合瓣膜移植物同期整块置换升主动脉和主动脉瓣，已成为治疗与严重主动脉瓣功能不全相关的主动脉根部动脉瘤的标准手术技术。尽管总体手术效果良好，但它仍伴有相当高的围手术期死亡率，且从长远来看还会引发严重并发症。我们报告一例巨大主动脉假性动脉瘤病例，该动脉瘤压迫右心腔并与右心室相通，在本塔尔手术后数月表现为快速进展的心力衰竭。
