Ueda T, Hayashi I, Iseki H, Misumi T, Kawada K
Section of Cardiovascular Surgery, Seiranso National Sanatorium Hospital.
Kyobu Geka. 1990 Jan;43(1):61-3.
A 55-year-old man who had both aortic root aneurysm with severe aortic regurgitation and enlarging abdominal aortic aneurysm was admitted to our hospital. We employed the combined composite valve graft replacement of the aortic root and Y-graft replacement of the infrarenal abdominal aorta at one stage operation. At the operation, median sternotomy was made and the composite graft replacement of the aortic root was performed under cardiopulmonary bypass prior to the abdominal procedure. After cardiopulmonary bypass was removed, abdominal incision was made. Although ventricular arrhythmias and mild hypotension transiently occurred when the abdominal aorta was clamped, the Y-graft replacement was also completed uneventfully, and no complication occurred postoperatively. We conclude that the combined operation of the aortic root and the abdominal aorta is clinically feasible in certain situation.
一名55岁男性，患有主动脉根部瘤合并严重主动脉瓣反流以及不断增大的腹主动脉瘤，入住我院。我们在一期手术中采用了主动脉根部复合人工瓣膜置换术联合肾下腹主动脉Y形人工血管置换术。手术时，行正中胸骨切开术，在腹部手术之前，在体外循环下进行主动脉根部复合人工血管置换术。体外循环撤除后，进行腹部切口。虽然在夹闭腹主动脉时短暂出现室性心律失常和轻度低血压，但Y形人工血管置换术也顺利完成，术后未发生并发症。我们得出结论，在某些情况下，主动脉根部和腹主动脉的联合手术在临床上是可行的。
