Koyama T, Kawada T, Ando N, Hinata S, Kamada S, Yamate N
Third Department of Surgery, St. Marianna University School of Medicine, Kawasaki, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1991 Jan;39(1):128-32.
A 37-year-old man was admitted to St. Marianna University Hospital with an episode of severe anterior chest pain. Contrast enhanced CT scan and digital subtraction angiography disclosed an aneurysmal dilatation of the aortic root and almost completely obstructed aortic isthmus. Modified Bentall operation was performed with simultaneous graft bypass using a woven Dacron prosthesis between the ascending aorta and the abdominal aorta through the median thoracoabdominal incision. Histologically the aortic wall showed cystic medial necrosis, and the aortic valve showed myxomatous degeneration. Only 9 cases with coarctation of the aorta associated with annuloaortic ectasia have been reported in the Japanese literature, and this is believed to be the first report that one-staged surgery has successfully been done dealing simultaneously both the coarctation and the annuloaortic ectasia.
一名37岁男性因严重胸痛发作入住圣玛丽安娜大学医院。增强CT扫描和数字减影血管造影显示主动脉根部瘤样扩张，主动脉峡部几乎完全阻塞。通过正中胸腹切口，采用改良Bentall手术，同时使用编织涤纶人工血管在升主动脉和腹主动脉之间进行移植搭桥。组织学检查显示主动脉壁呈囊性中层坏死，主动脉瓣呈黏液瘤样变性。日本文献中仅报道了9例主动脉缩窄合并主动脉瓣环扩张的病例，据信这是首例成功进行一期手术同时处理主动脉缩窄和主动脉瓣环扩张的报告。
