Ashida Shinichi, Hirate Yuichi, Yano Daisuke, Yamada Shinji, Kuwabara Fumiaki
Department of Cardiovascular Surgery, Nagoya Ekisaikai Hospital, Nagoya, Japan.
Kyobu Geka. 2017 Sep;70(10):867-870.
A 43-year-old woman was diagnosed with aortitis associated with mild aortic regurgitation (AR) at the age of 25, which advanced to a severe grade requiring surgical treatment at age 28. Dilation of the sinotubular junction (STJ) was treated with ascending aortic replacement (Hemashield Gold 24 mm), which reduced AR from severe to mild. The patient conceived 9 years later and delivered a baby by cesarean section at 38 weeks of gestation. By appropriate control of inflammation with steroid, neither deterioration of the aortic valve nor cardiac function has been noted during the 15 years of follow-up after surgery.
一名43岁女性在25岁时被诊断为主动脉炎合并轻度主动脉瓣关闭不全（AR），28岁时病情进展至重度，需要手术治疗。采用升主动脉置换术（Hemashield Gold 24 mm）治疗窦管交界（STJ）扩张，术后主动脉瓣关闭不全从重度减轻至轻度。9年后患者怀孕，并在妊娠38周时剖宫产分娩。通过使用类固醇适当控制炎症，术后15年的随访期间未发现主动脉瓣及心功能恶化。
