Yagyu K, Okabe H, Matsunaga H, Makuuchi H, Furuse A
Department of Thoracic Surgery, University of Tokyo School of Medicine.
Kyobu Geka. 1991 Jul;44(8 Suppl):651-4.
From March, 1980 to January, 1991, 18 patients, 14 male and 4 female patients ranging in age from 22 to 63 years, were operated on for aortic regurgitation associated with an aneurysm of the ascending aorta. Twelve patients had annuloaortic ectasia; six had DeBakey type I or II dissection; three had Marfan syndrome; and one had aortitis syndrome. The surgical treatment consisted of 16 Bentall operations and 2 modified Cabrol operations with a composite graft and aortic wrapping. The operative mortality was 5.6% (one death). The late mortality has been 4/15. The actuarial survival rate is 82.6% at 5 years and 72.3% at 7 years. Modified Cabrol technique consists of two short interposed grafts with equine pericardial miniskirts between coronary ostia and composite graft, in which Carbomedics mitral valve (No. 23 or 25) is placed 5-10 mm above the proximal extremity. This technique is a safe and reliable method with no bleeding nor mortality and excellent long-term results.
1980年3月至1991年1月，18例患者接受了手术治疗，其中男性14例，女性4例，年龄在22岁至63岁之间，均为升主动脉瘤合并主动脉瓣关闭不全。12例患者患有主动脉瓣环扩张；6例患有DeBakey I型或II型夹层；3例患有马方综合征；1例患有主动脉炎综合征。手术治疗包括16例Bentall手术和2例采用复合移植物及主动脉包裹术的改良Cabrol手术。手术死亡率为5.6%（1例死亡）。晚期死亡率为4/15。5年的精算生存率为82.6%，7年为72.3%。改良Cabrol技术包括在冠状动脉开口与复合移植物之间使用两个短的中间移植物以及马心包迷你裙边，其中Carbomedics二尖瓣（23号或25号）置于近端上方5至10毫米处。该技术是一种安全可靠的方法，无出血及死亡情况，且长期效果良好。
