Reimer P, Hendrickx P, Karck M, Laas J, Grote R, Galanski M
Abt. Diagnostische Radiologie I, Medizinische Hochschule Hannover.
Rofo. 1990 Apr;152(4):421-4. doi: 10.1055/s-2008-1046897.
We performed a follow-up examination by intravenous DSA and dynamic CT of 14 patients with separate replacement of aortic valve and ascending aorta due to an aneurysm or an aortic dissection. In 5 patients, we found an aortic ectasia at the aortic bulb or a perfused "graft inclusion". Both are best demonstrated with dynamic CT. As a result of the study, the operation technique was changed. In the postoperative management of patients with separate replacement of aortic bulb and ascending aorta, careful monitoring by dynamic CT is necessary even in the absence of clinical symptoms.
我们对14例因动脉瘤或主动脉夹层而分别进行主动脉瓣和升主动脉置换的患者进行了静脉数字减影血管造影（DSA）和动态CT随访检查。在5例患者中，我们发现主动脉球部存在主动脉扩张或灌注性“移植物内含物”。两者在动态CT上显示最佳。研究结果导致手术技术发生了改变。在分别进行主动脉球部和升主动脉置换的患者术后管理中，即使没有临床症状，也需要通过动态CT进行仔细监测。
