主动脉瓣连合处和瓣叶有两处裂开，并伴有进行性急性主动脉瓣反流。
Two dehiscences of the aortic valve commissure and cusp with progressive acute aortic regurgitation.
作者信息
Ishii Hirohito, Nakamura Kunihide, Nagahama Hiroyuki, Matsuyama Masakazu, Endo George, Nishimura Masanori
机构信息
Department of Surgery II, Faculty of Medicine, University of Miyazaki, Miyazaki, Miyazaki, Japan.
出版信息
Ann Vasc Dis. 2015;8(1):43-5. doi: 10.3400/avd.cr.14-00094. Epub 2015 Feb 16.
A 54-year-old female with acute heart failure due to aortic regurgitation (AR) was admitted to our hospital. Following admission, her condition worsened progressively; thus, surgery was performed prematurely. During surgery, two dehiscences were visualized in the aortic valve commissure between the right and left cusps and the upper part of the left coronary artery ostium. However we scheduled aortic valve replacement (AVR) at first, we made the shift to perform the aortic root replacement for reinforcement of the aortic wall around the left coronary artery ostium. We describe a rare case of two dehiscences at the aortic root, which is the first report.
一名因主动脉瓣关闭不全（AR）导致急性心力衰竭的54岁女性入住我院。入院后，她的病情逐渐恶化；因此，手术提前进行。手术过程中，在右、左瓣叶之间的主动脉瓣连合处以及左冠状动脉口上部可见两处裂开。尽管我们最初计划进行主动脉瓣置换术（AVR），但后来改为进行主动脉根部置换术，以加强左冠状动脉口周围的主动脉壁。我们描述了一例罕见的主动脉根部两处裂开的病例，这是首例报告。
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