Hiramatsu T, Ishihara S, Koyanagi T, Hayashi K, Kasahara S
Kyobu Geka. 1989 Mar;42(3):213-7.
A 36-year-old female was referred as aortitis c AR with atypical coarctation of aorta (obstruction of both subclavian arteries and long stenosis of lt. common carotid artery) and complained of untolerable angina repeatedly in the state of NYHA IV. AVR was performed successfully and CHF symptoms were disappeared. In the operation, pulsatile high flow was maintained using PAD during ECC for the protection of brain and kidney and double patch was used to fix SJM 23 A. Postoperative catheterization showed good cardiac function without valve detachment. To prevent valve detachment, it was most important to control the inflammation sufficiently by steroid hormone before and after the operation.
一名36岁女性因主动脉炎合并主动脉非典型缩窄（双侧锁骨下动脉梗阻及左侧颈总动脉长段狭窄）被转诊，纽约心脏协会（NYHA）心功能分级为IV级，反复出现难以耐受的心绞痛。成功进行了主动脉瓣置换术（AVR），心力衰竭症状消失。手术中，体外循环（ECC）期间使用搏动性高流量灌注辅助装置（PAD）以保护脑和肾，并使用双层补片修复圣犹达医疗公司（SJM）23 A型人工瓣膜。术后导管检查显示心脏功能良好，人工瓣膜无脱位。为防止人工瓣膜脱位，术前和术后通过类固醇激素充分控制炎症最为重要。
