Fan Xiaoping, He Jie, Peng Jihai, Zhuang Jian
Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong General Hospital, Guangdong Academy of Medical Sciences, 106th Zhongshan Er Road, Yuexiu District, 510080 Guangzhou, China.
Department of Rehabilitation, Guangdong General Hospital, Guangdong Academy of Medical Sciences, 106th Zhongshan Er Road, Yuexiu District, 510080 Guangzhou, China.
Eur Heart J Case Rep. 2017 Dec 21;1(2):ytx015. doi: 10.1093/ehjcr/ytx015. eCollection 2017 Dec.
Takayasu's aortitis (TA) is a complicated disease. Surgical treatment, especially reoperation, can be difficult. Here, we report a case of reoperation for TA, which presented with three major complications (aortic aneurysm, valve detachment, and fistula) 3 years after surgical treatment. During the surgery, the aortic valve was reconsolidated and fixed to the mitral valve, the fistula was then repaired, and the aortic root was replaced with woven graft. Following an uncomplicated postoperative event, the patient was discharged at 24 days postoperatively. Follow-up echocardiography at 2 years showed no perivalvular leakage. In such reoperative cases, when double valve replacement is required, it may be better to proactively reconstruct the structure of the central fibrous body.
高安动脉炎（TA）是一种复杂的疾病。手术治疗，尤其是再次手术，可能会很困难。在此，我们报告一例TA再次手术病例，该患者在首次手术治疗3年后出现了三种主要并发症（主动脉瘤、瓣膜脱离和瘘管）。手术过程中，主动脉瓣被重新加固并固定于二尖瓣，随后修复瘘管，并用编织移植物替换主动脉根部。术后经过平稳恢复，患者于术后24天出院。术后2年的超声心动图随访显示无瓣周漏。在这种再次手术的病例中，当需要进行双瓣膜置换时，积极重建中心纤维体结构可能更好。
