Matsumoto Mitsuaki, Kubo Yoji, Kemmochi Reiko, Yamasawa Takahiko, Oka Takefumi, Iwasaki Jun, Morimoto Naoki, Hagioka Shingo, Sugiyama Junichi, Hagiya Hideharu
Department of Cardiovascular Surgery, Cardiovascular Center, Tsuyama Chuo Hospital, Tsuyama, Japan.
Kyobu Geka. 2013 Aug;66(9):799-802.
A 38-year-old woman was admitted to our hospital because she experienced cardiopulmonary arrest at her wedding;her cardiac beats were resumed 20 min after cardiopulmonary resuscitation performed by her relatives and hotel staffs. Enhanced computed tomography revealed acute aortic redissection in chronic dissecting aneurysm in the right sinus of Valsalva, which was believed to have occurred in the 4th month of pregnancy 2 years before. Echocardiography showed moderate aortic regurgitation. We performed aortic valve-sparing operation and ascending aortic replacement with partial remodeling of the right sinus of Valsalva. She returned to work 2 months later without high-order dysfunction.
一名38岁女性因在婚礼上发生心肺骤停而被送入我院；经其亲属和酒店工作人员进行心肺复苏20分钟后心脏恢复跳动。增强计算机断层扫描显示，在主动脉瓣右窦的慢性夹层动脉瘤中出现急性主动脉夹层，据信这是2年前妊娠第4个月时发生的。超声心动图显示中度主动脉瓣反流。我们实施了保留主动脉瓣手术及升主动脉置换术，并对主动脉瓣右窦进行了部分重塑。2个月后她恢复工作，未出现高级功能障碍。
