Naraoka Shuichi, Inoue Satomi, Nakajima Tomohiro, Niida Yukihiro
Department of Cardiovascular Surgery, Hokkaido Prefectural Kitami Hospital, Kitami, Japan.
Kyobu Geka. 2010 Dec;63(13):1164-7.
We performed surgical therapy to the rare case of the perforation of an aneurysm of the aortic cusp which had caused the congestive heart failure. 71-year-old man having developed coughing was diagnosed as a severe aortic regurgitation and came to our hospital for surgery. The non coronary cusp was dilated and perforated. The aortic valves were removed and replaced with a bioprosthetic valve. The pathological examination of the valves showed healed infective endocarditis. The patient discharged home uneventfully.
我们对一例罕见的主动脉瓣尖动脉瘤穿孔导致充血性心力衰竭的病例进行了手术治疗。一名71岁出现咳嗽症状的男性被诊断为重度主动脉瓣反流,前来我院接受手术。无冠状动脉瓣叶扩张并穿孔。切除主动脉瓣并置换生物人工瓣膜。瓣膜的病理检查显示感染性心内膜炎已愈合。患者顺利出院。