Kotsuka Y, Tanaka O, Nakajima J, Mizuno A, Suzuki M, Yoshiwara A
Department of Cardiovascular Surgery, Asahi General Hospital, Chiba, Japan.
Jpn J Surg. 1989 Mar;19(2):232-6. doi: 10.1007/BF02471592.
In patients who have aortitis syndrome associated with aortic regurgitation, aortic valve replacement (AVR) is frequently complicated by perivalvular leakage (PVL). A 47-year-old male with aortitis syndrome and severe aortic regurgitation was treated by AVR, modified in such a way as to prevent PVL. The aortic cusps were not resected and were placed between Teflon pledgets and the aortic annulus. We believe that this technique is useful for preventing PVL in patients with aortitis syndrome in which the aortic annulus is severely inflammed.
在患有与主动脉瓣关闭不全相关的主动脉炎综合征的患者中，主动脉瓣置换术（AVR）常并发瓣周漏（PVL）。一名患有主动脉炎综合征和严重主动脉瓣关闭不全的47岁男性接受了AVR治疗，并进行了改良以预防PVL。主动脉瓣叶未切除，置于特氟龙垫片和主动脉瓣环之间。我们认为，该技术对于预防主动脉瓣环严重发炎的主动脉炎综合征患者的PVL是有用的。
