Zhuang Xian-Mian, Zhong Xin-Bo, Lu Ping-Fang, Guo Hong-Wei
Department of Surgery, Department of Echocardiography, Fuwai Hospital, Chinese Academy of Medical Sciences, Shenzhen, China; Department of Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences, Beijing, China.
Department of Surgery, Department of Echocardiography, Fuwai Hospital, Chinese Academy of Medical Sciences, Shenzhen, China; Department of Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences, Beijing, China.
Ann Thorac Surg. 2023 Jan;115(1):e25-e28. doi: 10.1016/j.athoracsur.2022.03.066. Epub 2022 Apr 15.
Behçet's disease with interventricular septal dissection is extremely rare, and its surgical treatment is even more challenging. One such treatment with interventricular septal dissection repair was followed by the flanged Bentall and Cabrol techniques. The flange of the flanged composite graft was attached to the left ventricular outflow tract instead of the fragile annulus. The Cabrol procedure was performed to reduce anastomotic tension at the coronary button sites. Good short-term results were achieved.
伴有室间隔夹层的白塞病极为罕见，其外科治疗更具挑战性。一例采用室间隔夹层修复的此类治疗随后采用了带凸缘的Bentall和Cabrol技术。带凸缘复合移植物的凸缘附着于左心室流出道而非脆弱的瓣环。采用Cabrol手术以减轻冠状动脉纽扣部位的吻合张力。取得了良好的短期效果。
