Salas J, De Vega N G, De Rábago G
Servicio de Cirugía Cardiovascular de la fundación Jiménez Diaz de Madrid, Málaga, Spain.
J Cardiovasc Surg (Torino). 1989 Sep-Oct;30(5):798-800.
Apicoaortic conduit implantation is easier and safer with cardiopulmonary bypass. We present an analysis of two cases in which the operation was successfully concluded without the bypass. The first patient had a simultaneous correction of aortic coarctation and tunnelliform subaortic stenosis 8 years ago and is asymptomatic at present. The second patient suffered from hyperlipoproteinemia, calcification of the ascending aorta and femoral arteries and severe aortic stenosis. One month after surgery be suffered cardiac arrhythmia and died. Although this experience is limited, we believe that information about this alternative method may be useful in some cases.
在体外循环下进行心尖主动脉管道植入术更简便、安全。我们分析了两例未使用体外循环而成功完成手术的病例。首例患者8年前同时矫正了主动脉缩窄和隧道状主动脉瓣下狭窄，目前无症状。第二例患者患有高脂蛋白血症、升主动脉和股动脉钙化以及严重的主动脉瓣狭窄。术后1个月，该患者出现心律失常并死亡。尽管这一经验有限，但我们认为有关这种替代方法的信息在某些情况下可能有用。
