Kessler G, Hendler A, Smolinsky A, Kauli N
Maccabi Heart Institute, Ramat Gan, Israel.
Isr J Med Sci. 1990 May;26(5):278-80.
We report one of the first cases in Israel of composite-graft repair of an aortic aneurysm in Marfan syndrome, in which preoperative evaluation was done noninvasively using magnetic resonance imaging (MRI). Because of the relatively favorable outcome of surgical compared with medical treatment of aortic aneurysm in patients with Marfan syndrome, surgery is now more frequently considered, even in asymptomatic patients. MRI is an excellent diagnostic tool for evaluating the thoracic aorta and has been suggested as a replacement for preoperative cardiac catheterization. In the case presented here, MRI preoperative confirmation of a 6.0-cm aortic aneurysm in an asymptomatic 38-year-old man with Marfan syndrome, was followed by composite ascending aorta and aortic valve replacement. The postoperative course was good. This case supports the view that aortic aneurysm replacement can be performed based on a noninvasive preoperative evaluation using MRI.
我们报告了以色列首例马凡综合征主动脉瘤复合移植修复病例，该病例术前使用磁共振成像（MRI）进行了无创评估。由于与马凡综合征患者主动脉瘤的药物治疗相比，手术治疗的效果相对较好，因此现在即使是无症状患者也更常考虑手术治疗。MRI是评估胸主动脉的优秀诊断工具，已被建议替代术前心脏导管插入术。在此呈现的病例中，一名38岁无症状马凡综合征男性患者经MRI术前确诊为6.0厘米主动脉瘤，随后进行了升主动脉和主动脉瓣复合置换术。术后病程良好。该病例支持这样一种观点，即可以基于使用MRI的无创术前评估来进行主动脉瘤置换术。
