Cabrol C, Gandjbakhch I, Cham B
Nouv Presse Med. 1978 Feb 4;7(5):363-5.
The replacement of the entire aorta and the aortic valve is the procedure of choice in aneurysms involving the aortic annulus. This method, which necessitate the reimplantation of the coronary arteries, is, however, sometimes difficult and carries a greater operative risk of bleeding problems. Our experience of 15 such cases lead us to propose some modifications (such the use of an independent coronary conduit and the atrial drainage of the peri prosthetic space) in order to make the operation simple and safer.
对于累及主动脉瓣环的动脉瘤，替换整个主动脉和主动脉瓣是首选的手术方法。然而，这种需要重新植入冠状动脉的方法有时操作困难，且存在更大的手术出血风险。我们对15例此类病例的经验促使我们提出一些改进措施（如使用独立的冠状动脉导管和人工瓣膜周围间隙的心房引流），以使手术更简单、更安全。
