Nakajima M, Tsuchiya K, Okamoto Y, Yano K, Kobayashi T
Department of Cardiovascular Surgery, Yamanashi Prefectural Central Hospital, Kofu, Japan.
Kyobu Geka. 2008 Aug;61(9):760-4.
We report a case of 44-year-old male with aortitis syndrome who suffered a prosthetic aortic valve detachment and recurrent aneurysm of sinus of Valsalva 5 years after aortic valve replacement and patch closure of non-coronary sinus of Valsalva. Preoperative computed tomography (CT) and angiography revealed severe aortic regurgitation and complicated aneurysm formation of sinus of Valsalva due to prosthetic valve and prosthetic patch dehiscence. Aortic root replacement was performed successfully after induction of steroid therapy to control inflammation. His postoperative course has been uneventful for 18 months.
我们报告一例44岁患有大动脉炎综合征的男性患者，该患者在主动脉瓣置换及非冠状动脉瓣窦补片闭合术后5年，发生人工主动脉瓣脱离及反复的主动脉瓣窦瘤形成。术前计算机断层扫描（CT）及血管造影显示，由于人工瓣膜及人工补片裂开，导致严重主动脉瓣反流及主动脉瓣窦复杂瘤形成。在进行类固醇治疗以控制炎症后，成功实施了主动脉根部置换术。术后18个月他的病程平稳。
