Kin Hajime, Minatoya Kenji, Mukaida Masayuki, Okabayashi Hitoshi
Department of Cardiovascular Surgery, Iwate Medical University Memorial Heart Center, 1-2-1 Chuodori Morioka, Iwate 020-8505, Japan.
Interact Cardiovasc Thorac Surg. 2011 May;12(5):869-71. doi: 10.1510/icvts.2010.262097. Epub 2011 Feb 19.
Case 1 was a 20-year-old male who had been involved in a traffic accident and developed aortic regurgitation (AR) eight months later. He was admitted with dilatation of the left ventricle. Transesophageal echocardiography (TEE) showed severe AR with perforation of the right coronary cusp. Case 2 was a 50-year-old male who had fallen from a height four months previously, and was admitted with congestive heart failure due to severe AR. TEE showed severe AR due to rupture of the right coronary cusp. In the former patient, valve repair was performed with a patch of autologous pericardium. In the latter patient, cusp reconstruction was performed with autologous pericardium and the commissural plication technique, achieving successful aortic valve repair.
病例1是一名20岁男性，曾遭遇交通事故，八个月后出现主动脉瓣关闭不全（AR）。他因左心室扩张入院。经食管超声心动图（TEE）显示严重AR伴右冠状动脉瓣叶穿孔。病例2是一名50岁男性，四个月前从高处坠落，因严重AR导致充血性心力衰竭入院。TEE显示右冠状动脉瓣叶破裂导致严重AR。在前一名患者中，使用自体心包补片进行瓣膜修复。在后一名患者中，采用自体心包和瓣叶折叠技术进行瓣叶重建，成功完成主动脉瓣修复。
