Lee Sangjun, Kim Chan Hyeong, Lee Jae Hong, Kwak Jae Gun
Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
J Chest Surg. 2023 Nov 5;56(6):445-448. doi: 10.5090/jcs.23.051. Epub 2023 Aug 14.
A 25-year-old man returned to Seoul National University Children's Hospital with mild dyspnea on exertion. He had undergone an arterial switch operation at 1 month after birth to correct a complete transposition of the great arteries and a ventricular septal defect. When the patient was 15 years old, dilatation of the neo-aortic sinus and annulus was first identified; since then, it had gradually increased. Given the young age of the patient and the degree of aortic regurgitation (AR), which was mild to moderate, we opted to perform a valve-sparing neo-aortic root replacement with aortic valve repair. Postoperative echocardiography showed successful reductions in the sizes of the aortic sinus and annulus, with only mild AR remaining.
一名25岁男性因运动时轻度呼吸困难返回首尔国立大学儿童医院。他在出生后1个月接受了动脉调转手术，以纠正完全性大动脉转位和室间隔缺损。患者15岁时首次发现新主动脉窦和瓣环扩张，此后逐渐加重。鉴于患者年轻且主动脉瓣反流（AR）程度为轻度至中度，我们选择进行保留瓣膜的新主动脉根部置换并修复主动脉瓣。术后超声心动图显示主动脉窦和瓣环大小成功缩小，仅残留轻度AR。
