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升主动脉-降主动脉旁路加主动脉根部瘤保留瓣膜的根部置换术治疗伴主动脉根部瘤的主动脉缩窄。

Ascending-descending aortic bypass with valve-sparing root replacement for coarctation with aortic root aneurysm.

机构信息

Division of Thoracic and Cardiovascular Surgery, Duke University Medical Center, Durham, NC 27710, USA.

出版信息

J Thorac Cardiovasc Surg. 2012 Feb;143(2):514-5. doi: 10.1016/j.jtcvs.2011.07.047. Epub 2011 Aug 23.

DOI:10.1016/j.jtcvs.2011.07.047
PMID:21864852
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3693550/
Abstract

A 55-year-old man with critical aortic coarctation, aortic root aneurysm, and aortic insufficiency underwent median sternotomy for ascending–descending aortic bypass and aortic root replacement. The patient was found to have a salvageable trileaflet aortic valve, allowing for valve-sparing root replacement (VSRR). Aortic bypass with VSRR has not previously been reported and may be the ideal operation for repair of coarctation with concomitant aortic root aneurysm.

摘要

一位 55 岁男性患有严重的主动脉缩窄、主动脉根部瘤和主动脉瓣关闭不全，接受了正中胸骨切开术进行升主动脉-降主动脉旁路和主动脉根部置换。患者发现有可挽救的三叶主动脉瓣，可进行保留瓣叶的主动脉根部置换术（VSRR）。VSRR 的主动脉旁路在此之前尚未有报道，可能是治疗伴有主动脉根部瘤的缩窄的理想手术方法。

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本文引用的文献

1
What is new in dilatation of the ascending aorta? Review of current literature and practical advice for the cardiologist.升主动脉扩张有哪些新进展？当前文献综述及给心脏病专家的实用建议。
Circulation. 2011 Mar 1;123(8):924-8. doi: 10.1161/CIRCULATIONAHA.110.949131.
2
Treatment of complex coarctation and coarctation with cardiac lesions using extra-anatomic aortic bypass.应用体外循环主动脉旁路手术治疗复杂型主动脉缩窄合并心脏病变。
J Vasc Surg. 2010 May;51(5):1203-8. doi: 10.1016/j.jvs.2009.12.027. Epub 2010 Mar 19.
3
Intermediate-term results of ascending-descending posterior pericardial bypass of complex aortic coarctation.复杂主动脉缩窄的升-降主动脉后心包旁路术的中期结果
J Thorac Cardiovasc Surg. 2007 Jun;133(6):1504-9. doi: 10.1016/j.jtcvs.2006.11.011.