Wellens F, Deuvaert F, Leclerc J L, Van Nooten G, Goldstein J, Primo G
Acta Chir Belg. 1986 Jan-Feb;86(1):26-30.
Eighteen patients with annuloaortic ectasia were surgically treated during a six year period. Cystic media-necrosis was present in 17 patients, five of them presented with Marfan syndrome. All patients received a composite graft with reversed mitral Björk-Shiley or St-Jude prosthesis and reimplantation of the coronary ostia or venous bypass grafts. Combined profound selective hypothermia and hyperkalemic cardioplegia was the preferred myocardial protection technique. There was one early postoperative and two late deaths. The fifteen survivors, with a follow-up between 6 and 72 months did not present conduit related complications and clinical results are excellent; all patients are NYHA class I (11) or II (4).
在六年期间，对18例主动脉环扩张患者进行了手术治疗。17例患者存在囊性中层坏死，其中5例患有马方综合征。所有患者均接受了带二尖瓣 Björk-Shiley 或 St-Jude 人工瓣膜反转的复合移植物，并进行了冠状动脉开口再植入或静脉搭桥术。联合深度选择性低温和高钾停搏是首选的心肌保护技术。术后早期死亡1例，晚期死亡2例。15例幸存者随访6至72个月，未出现与人工血管相关的并发症，临床结果良好；所有患者均为纽约心脏协会（NYHA）I级（11例）或II级（4例）。
