Cardiac Surgery, Royal Papworth Hospital NHS Trust, Cambridge, CB2 0AY, UK.
Cardiothoracic Intensive Care, Royal Papworth Hospital NHS Trust, Cambridge, UK.
J Cardiothorac Surg. 2024 Mar 26;19(1):156. doi: 10.1186/s13019-024-02545-w.
This is a case report of a 78-year-old male who underwent a sub-coronary aortic valve and root replacement due to valve dehiscence and aortic root pseudoaneurysm. The patient had complex anomalous coronary anatomy and had undergone a previous tissue aortic valve replacement in 2013. The patient made an uneventful recovery and was discharged from the hospital five days later. The authors suggest that the sub-coronary root replacement technique should be considered in elderly patients and patients with complex coronary anatomy.
这是一例 78 岁男性患者的病例报告,因瓣叶裂开和主动脉根部假性动脉瘤而行次冠状动脉瓣及根部置换术。该患者具有复杂的冠状动脉解剖结构,且曾于 2013 年行组织瓣主动脉瓣置换术。患者术后恢复顺利,五天后出院。作者建议,对于老年患者和具有复杂冠状动脉解剖结构的患者,应考虑采用次冠状动脉根部置换技术。