McCready R A, Pluth J R
Ann Thorac Surg. 1979 Oct;28(4):307-16. doi: 10.1016/s0003-4975(10)63127-x.
From 1965 to 1978, 111 patients underwent combined operation for ascending aortic aneurysms and aortic valve insufficiency. Fifteen patients had direct coronary implantation (Group 1). In 25 patients operated on between 1972 and 1977, the aortic root was retained (Group 2). An additional 71 patients operated on between 1965 and 1972 were included (Group 3): 40 who had synthetic graft replacement and retention of the aortic root and 31 who had aortoplasty and associated aortic valve repair. In 8 patients in Group 3, recurrent aneurysms were detected an average of 6.5 years after operation. The mortality rate for repaiajor complication after incomplete resection of the aortic root. Total exclusion of the aneurysm should be considered.
1965年至1978年期间，111例患者接受了升主动脉瘤合并主动脉瓣关闭不全的联合手术。15例患者进行了直接冠状动脉植入术（第1组）。在1972年至1977年接受手术的25例患者中，保留了主动脉根部（第2组）。另外纳入了1965年至1972年期间接受手术的71例患者（第3组）：40例进行了人工血管置换并保留了主动脉根部，31例进行了主动脉成形术及相关主动脉瓣修复。第3组中有8例患者在术后平均6.5年检测到复发性动脉瘤。主动脉根部不完全切除后修复的主要并发症死亡率较高。应考虑完全切除动脉瘤。
