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[伴有心绞痛和主动脉瓣关闭不全的瓦氏窦非破裂钙化性动脉瘤。外科治疗]

[Non-ruptured calcified aneurysm of the Valsalva's sinus with angina pectoris and aortic insufficiency. Surgical treatment].

作者信息

Varin J, Donzeau Gouge P, Forman J, Orion L, Gorce M, Chapsal J, Fouchard J

机构信息

Service des Maladies cardiovasculaires, Hôpital Cochin, Paris.

出版信息

Ann Cardiol Angeiol (Paris). 1990 Sep;39(7):411-5.

PMID:2264705
Abstract

We report a case of aneurysm of the straight frontal, and not coronary, aortic sinus, non ruptured and calcified, responsible for a refractory angina pectoris and a massive aortic failure in a 71 year old woman. The surgical treatment consisted in the exclusion of the aneurysm of the aortic sinus by a tubular prosthesis in which only two thirds of the circumference have been used, associated with the replacement of an aortic valve by a bioprosthesis, without associated coronary by-pass.

摘要

我们报告了一例71岁女性患者,其额直窦(而非冠状窦)发生主动脉窦瘤,未破裂且已钙化,导致难治性心绞痛和严重主动脉功能衰竭。手术治疗包括使用仅三分之二圆周的管状假体排除主动脉窦瘤,并同时用生物假体置换主动脉瓣,未进行冠状动脉搭桥。

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