Watanabe Suguru, Matsuoka Takayuki, Minagawa Tadanori, Miura Makoto, Shimizu Takuya, Kawamoto Shunsuke, Tabayashi Kouichi
Department of Cardiovascular Surgery, Japanese Red Cross Ishinomaki Hospital, Ishinomaki, Japan.
Kyobu Geka. 2018 Nov;71(12):1027-1030.
A 40-year-old man presented to our hospital with fever and slight palpitation. The echocardiogram revealed bicuspid aortic valve, massive aortic regurgitation, and aneurysm of Valsalva sinus. Operative findings showed an aortic root pseudoaneurysm originating just below the avulsion of the right to left commissure. The orifice was closed with a part of a woven vascular graft, and the aortic valve was replaced with a mechanical valve. There was no sign of marked inflammation, although pathophysiologic findings indicated infective endocarditis. His postoperative course was uneventful.
一名40岁男性因发热和轻度心悸入住我院。超声心动图显示二叶式主动脉瓣、大量主动脉瓣反流和瓦氏窦瘤。手术所见显示主动脉根部假性动脉瘤起源于左右瓣叶交界撕脱下方。用一段编织血管移植物封闭破口，并用机械瓣膜置换主动脉瓣。尽管病理生理检查结果提示感染性心内膜炎，但未见明显炎症迹象。他术后恢复顺利。
