Yamada T, Yokoyama M, Nakahara H, Ohshima N, Tanabe S, Irie Y, Katayama Y, Sano H, Kaneko H, Imaseki T
Cardiovascular and Thoracic Surgery, Dokkyo University Koshigaya Hospital.
Kyobu Geka. 1991 Jul;44(8 Suppl):636-40.
Interposition graft technique had been used exclusively in 8 consecutive patients with AAE and AR. Two patients with severely dilated left ventricle (CTR 65, 80%, LVDd 93, 83 mm, LVDs 86, 68 mm), and 1 patient complicated with the postoperative mediastinitis died in the perioperative period, 10, 145 and 135 days after surgery, respectively. In the remaining 5 patients, excellent clinical improvement was observed with the reduction of CTR and echo-cardiographic findings without formation of hematoma, pseudoaneurysm, and leak from the suture lines on DSA and CT.
连续8例AAE和AR患者仅采用了间置移植技术。2例左心室严重扩张(CTR分别为65%、80%,LVDd分别为93、83mm,LVDs分别为86、68mm),1例并发术后纵隔炎,分别于术后10、145和135天在围手术期死亡。其余5例患者临床改善良好,CTR降低,超声心动图检查结果改善,DSA和CT检查未发现血肿、假性动脉瘤及缝线处渗漏。