Chen I-C, Wei J, Chang C-Y, Chuang Y-C, Lee S-L, Lee W-C
Heart Center, Cheng-Hsin General Hospital, Cheng-Hsin Rehabilitation Medical Center, Taipei, Taiwan.
Transplant Proc. 2008 Oct;40(8):2852-3. doi: 10.1016/j.transproceed.2008.08.054.
Aortic root aneurysm after orthotopic heart transplantation (HTx) is rare. It may originate from cystic medial necrosis of the donor heart aorta. Herein we have reported a 64-year-old man who received an orthotopic HTx due to dilated cardiomyopathy. Although asymptomatic, follow-up echocardiography revealed dilatation of the aortic root and severe aortic regurgitation at 3 years after the transplantation. He underwent a Bentall procedure with a prosthetic valved conduit. The post-operative course was uneventful. This case demonstrated that a heart-transplant recipient with a late aortic root aneurysm can be successfully treated with an excellent outcome.
原位心脏移植（HTx）后主动脉根部动脉瘤较为罕见。它可能源于供体心脏主动脉的囊性中层坏死。在此，我们报告了一名64岁男性，因扩张型心肌病接受了原位心脏移植。尽管无症状，但移植后3年的随访超声心动图显示主动脉根部扩张和严重主动脉瓣反流。他接受了带人工瓣膜管道的Bentall手术。术后过程顺利。该病例表明，患有晚期主动脉根部动脉瘤的心脏移植受者可以通过成功治疗获得良好预后。
