Kubota H, Murakami T, Aoki H, Eya K, Asada H
Department of Thoracic and Cardiovascular Surgery, Asahikawa City Hospital.
Kyobu Geka. 1991 Jul;44(8 Suppl):618-22.
As a surgical treatment of ascending aortic aneurysm with aortic valve regurgitation, we employed Bentall's procedure in 6 cases, Cabrol's procedure in 6 cases, Cabrol's procedure in 3 cases and Carrel patch technique in 2 cases. No hospital mortality was recorded. Late complications were noted in 2 patients. A graft dehiscence of the anastomosis of the right coronary artery occurred in 1 patient with Cabrol's procedure, 3 months postoperatively. In another patient with Bentall's procedure, enlargement of the dissected false lumen at the distal aortic arch necessitated surgical repair in other hospital, 4 years and 4 months after primary repair. All of the surviving patients showed improvement in cardiac function and their clinical status. We have frequently experienced troublesome intraoperative bleeding in applying Bentall's procedure and Cabrol's procedure also. However, hemostatic control was permitted by Cabrol's trick. We are satisfied with the results obtained by Carrel patch technique. This technique facilitates secure coronary anastomosis and definitive hemostasis is attained.
作为升主动脉瘤合并主动脉瓣反流的外科治疗方法，我们对6例患者采用了Bentall手术，6例采用了Cabrol手术，3例采用了Cabrol手术，2例采用了Carrel补片技术。无院内死亡记录。2例患者出现晚期并发症。1例接受Cabrol手术的患者术后3个月发生右冠状动脉吻合口人工血管裂开。另1例接受Bentall手术的患者在初次修复后4年4个月，主动脉弓远端夹层假腔扩大，需在其他医院进行手术修复。所有存活患者的心功能和临床状况均有改善。我们在应用Bentall手术和Cabrol手术时也经常遇到术中出血困难的情况。然而，Cabrol技巧有助于控制止血。我们对Carrel补片技术取得的结果感到满意。该技术便于进行可靠的冠状动脉吻合，并能实现确切止血。
