主动脉-左心室隧道修复术后升主动脉瘤

Ascending Aortic Aneurysm After Repair of Aortico-Left Ventricular Tunnel.

作者信息

Jhou Hong-Jie, Ke Liang-Ying, Wu Jiunn-Ren, Chen Ying-Fu

机构信息

School of Medicine, Kaohsiung Medical University, Kao-hsiung, Taiwan.

Department of Pediatrics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kao-hsiung, Taiwan.

出版信息

Pediatr Cardiol. 2020 Jan;41(1):206-208. doi: 10.1007/s00246-019-02184-2. Epub 2019 Sep 3.

DOI:10.1007/s00246-019-02184-2

PMID:31482238

Abstract

Ascending aortic aneurysm following aortico-left ventricular tunnel (ALVT) repair is an uncommon but life-threatening complication. A 27-year-old man had received patch closure for ALVT at infancy. Eighteen years later, aortic valve replacement for severe aortic regurgitation and direct suture for recurrent slit tunnel were performed. Another 9 years later, ascending aortic replacement was performed because of ascending aortic aneurysm. Thus we report an uncommon case of ascending aortic aneurysm 27 years after the repair of an ALVT.

摘要

主动脉左心室隧道（ALVT）修复术后升主动脉瘤是一种罕见但危及生命的并发症。一名27岁男性在婴儿期接受了ALVT修补术。18年后，因严重主动脉瓣反流进行了主动脉瓣置换术，并对复发性裂隙隧道进行了直接缝合。又过了9年，因升主动脉瘤进行了升主动脉置换术。因此，我们报告了一例ALVT修复术后27年发生升主动脉瘤的罕见病例。