Zhang Guofei, Feng Qiang, Zheng Dawei, Ni Yiming
Department of Cardiovascular Surgery, The First Affiliated Hospital, Zhejiang University, Hangzhou, People's Republic of China.
Ann Vasc Surg. 2011 Feb;25(2):265.e9 -11. doi: 10.1016/j.avsg.2010.05.023.
The optimal surgical management of patients presenting with an aortic coarctation together with other cardiovascular disorders is unclear. In this study, we report the case of an adult male with an aortic coarctation associated with a bicuspid aortic valve and an ascending aortic aneurysm. The patient underwent single-stage repair involving the Bentall technique and total arch replacement combined with stented elephant trunk implantation, which was performed through median sternotomy. We consider this procedure to be a suitable alternative for treating these complex cases.
对于合并其他心血管疾病的主动脉缩窄患者，最佳的手术治疗方案尚不清楚。在本研究中，我们报告了一例成年男性患者，其患有与二叶式主动脉瓣和升主动脉瘤相关的主动脉缩窄。该患者接受了一期修复手术，采用Bentall技术、全弓置换并结合带支架象鼻植入术，通过正中胸骨切开术进行。我们认为该手术是治疗这些复杂病例的一种合适选择。
