Tsuji Y, Okamura M, Ota T, Hosokawa Y, Yamamoto S, Okada M, Nakamura K
Department of Surgery, Kobe University School of Medicine.
Kyobu Geka. 1991 Mar;44(3):234-9.
A 33-year-old male who had received Bentall's operation 10 years ago was admitted to our hospital with severe chest pain. The pseudoaneurysm at the right coronary ostium was observed on angiography and CT scan. He underwent the repair of the anastomosis between the graft and the right coronary ostium under extracorporeal circulation. Although he was discharged from the hospital asymptomatically, he was again admitted to our hospital with severe chest pain and back pain 4 months after re-operation. Aneurysmal formation of the ascending aorta due to blood leakage from the distal anastomotic suture line was observed and the graft was compressed by hematoma on angiography and CT scan. He underwent re-operation of the distal anastomosis of the graft, and could be discharged from the hospital uneventfully.
一名10年前接受过Bentall手术的33岁男性因严重胸痛入院。血管造影和CT扫描显示右冠状动脉开口处有假性动脉瘤。他在体外循环下接受了移植血管与右冠状动脉开口吻合口的修复手术。尽管他无症状出院，但再次手术后4个月，他因严重胸痛和背痛再次入院。血管造影和CT扫描显示，由于远端吻合口缝线处漏血，升主动脉形成动脉瘤，移植血管被血肿压迫。他接受了移植血管远端吻合的再次手术，最终顺利出院。
