Isomura Shogo, Hosoda Susumu, Shikawa Akira
Department of Cardiac Surgery, Sendai Cardiovascular Center, 21-1 Honda-cho, Izumi-ku, Sendai, Miyagi, 981-3107, Japan.
Heart Vessels. 2016 Feb;31(2):265-7. doi: 10.1007/s00380-014-0583-7. Epub 2014 Sep 25.
Though a high frequency of postoperative complications after an original Bentall procedure has been reported, several procedures that reduce the incidence of complications have been developed. Complications relating to anastomoses of the interposed graft are infrequent but life-threatening. This report describes a case of a 61-year-old man who presented with heart failure secondary to bilateral detachment of coronary ostial anastomoses and graft stenosis 21 years after undergoing a modified Bentall procedure. These complications were successfully repaired by reconstructing the conduit and coronary arteries.
尽管已有报道称原始Bentall手术后术后并发症发生率较高，但已开发出几种可降低并发症发生率的手术方法。与植入移植物吻合相关的并发症虽不常见，但危及生命。本报告描述了一例61岁男性患者，在接受改良Bentall手术后21年，因冠状动脉开口吻合处双侧分离和移植物狭窄继发心力衰竭。通过重建管道和冠状动脉，成功修复了这些并发症。
