Nagata Y, Uwadoko K, Shioi K, Tsuchioka H
Department of Surgery, Aichi Medical University.
Kyobu Geka. 1991 Jul;44(8 Suppl):674-6.
We report a successful surgical treatment of acute dissecting aneurysm of the ascending aorta associated with annuloaortic ectasia. The patient was a 29-year-old male, who was admitted to the hospital 5 hours after the onset of anterior chest pain. Aortography revealed acute dissection of the ascending aorta (DeBakery type I) with AAE. The intimal tear surrounding the right coronary ostium was found. The procedure between the right coronary artery and aorta (replaced artificial graft) using saphenous vein graft was also required in addition to Bentall's operation. Postoperative studies revealed disappearance of the dissection, patency of the bypass graft. The postoperative course was uneventful and the patient is in active life two years after operation.
我们报告了一例成功手术治疗升主动脉急性夹层动脉瘤合并主动脉瓣环扩张症的病例。患者为一名29岁男性，前胸疼痛发作5小时后入院。主动脉造影显示升主动脉急性夹层（DeBakery I型）合并主动脉瓣环扩张症。发现右冠状动脉开口周围的内膜撕裂。除了Bentall手术外，还需要使用大隐静脉移植物进行右冠状动脉与主动脉之间的手术（置换人工移植物）。术后检查显示夹层消失，旁路移植物通畅。术后过程顺利，患者术后两年生活正常。
