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马凡综合征及主动脉根部相关病症（环主动脉扩张）的外科手术。

Surgery of Marfan's syndrome and related conditions of the aortic root (annulo-aortic ectasia).

作者信息

Ross D N, Frazier T G, Gonzalez-Lavin L

出版信息

Thorax. 1972 Jan;27(1):52-7. doi: 10.1136/thx.27.1.52.

DOI:10.1136/thx.27.1.52
PMID:4259612
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC472462/
Abstract

The surgical treatment of 14 patients with annulo-aortic ectasia and aortic valve regurgitation secondary to cystic medial necrosis is presented. Resection of the aneurysm and replacement with a tubular graft, and aortic valve replacement with a rigid prosthesis, are advocated for definitive treatment. Eighty-six per cent of the patients survive and are doing well six months to four and a half years after surgery.

摘要

本文介绍了14例因囊性中层坏死继发主动脉环扩张和主动脉瓣反流患者的外科治疗情况。主张行动脉瘤切除并用管状移植物置换，以及用硬式假体置换主动脉瓣，作为确定性治疗方法。86%的患者存活，术后6个月至4年半情况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8527/472462/6de315d51b04/thorax00121-0062-a.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8527/472462/0874203a9ccc/thorax00121-0059-b.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8527/472462/6de315d51b04/thorax00121-0062-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8527/472462/2bf85dc71428/thorax00121-0058-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8527/472462/cabaceca7ec0/thorax00121-0059-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8527/472462/0874203a9ccc/thorax00121-0059-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8527/472462/9a054d167671/thorax00121-0060-a.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8527/472462/3401eb606044/thorax00121-0061-a.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8527/472462/6de315d51b04/thorax00121-0062-a.jpg

相似文献

1
Surgery of Marfan's syndrome and related conditions of the aortic root (annulo-aortic ectasia).马凡综合征及主动脉根部相关病症（环主动脉扩张）的外科手术。
Thorax. 1972 Jan;27(1):52-7. doi: 10.1136/thx.27.1.52.
2
Replacement of the mitral valve, aortic valve, and ascending aorta with coronary transplantation in a child with the Marfan syndrome.对一名患有马凡综合征的儿童进行二尖瓣、主动脉瓣置换及冠状动脉移植并升主动脉置换术。
Thorax. 1972 Jan;27(1):58-65. doi: 10.1136/thx.27.1.58.
3
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Annulo-aortic ectasia with cystic medial necrosis. Diagnosis and surgical treatment.伴有囊性中层坏死的主动脉环扩张。诊断与外科治疗。
Am J Cardiol. 1965 Nov;16(5):679-87. doi: 10.1016/0002-9149(65)90051-2.
5
[Successful repair of annulo-aortic ectasia due to Marfan's syndrome with Bentall's technic].[采用Bentall技术成功修复马凡综合征所致主动脉瓣环扩张]
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An Option for Concomitant Management of Moderate Marfan Root Aneurysm at the Time of Mitral Valve Repair: A Role for Personalized External Aortic Root Support.二尖瓣修复时合并中度马方综合征主动脉根部瘤的一种处理选择：个性化体外主动脉根部支撑的作用
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[Marfan's disease: simultaneous prosthetic replacement of the ascending aorta and aortic valves for fissured aneurysm and major aortic insufficiency].
Ann Chir Thorac Cardiovasc. 1968 Jan;7(1):59-64.
10
[Prosthesis of the ascending aorta and aortic valve in Marfan's syndrome].
Grudn Khir. 1976 Nov-Dec(6):16-23.

引用本文的文献

1
Surgical treatment of mitral-aortic incompetence and aneurysm of the ascending aorta in a child with Marfan's syndrome: case report.马方综合征患儿二尖瓣-主动脉瓣关闭不全及升主动脉瘤的外科治疗：病例报告
Tex Heart Inst J. 1983 Mar;10(1):67-70; discussion 95.
2
Cardiovascular surgery for Marfan syndrome.马凡综合征的心血管外科手术
Heart. 2000 Dec;84(6):674-8. doi: 10.1136/heart.84.6.674.

本文引用的文献

1
Marfan's syndrome; observations at necropsy: with special reference to medionecrosis of the great vessels.
Lab Invest. 1952;1(3):382-406.
2
Cardiovascular disease in Marfan's syndrome.马方综合征中的心血管疾病。
Am Heart J. 1951 Dec;42(6):814-25. doi: 10.1016/0002-8703(51)90054-3.
3
Pathogenesis of dissecting aneurysm of the aorta.主动脉夹层动脉瘤的发病机制。
AMA Arch Pathol. 1952 Feb;53(2):142-53.
4
Congenital aneurysmal dilatation of the ascending aorta associated with arachnodactyly; an angiocardiographic study.升主动脉先天性动脉瘤样扩张合并蜘蛛指（趾）；心血管造影研究
Am Heart J. 1951 Oct;42(4):610-6. doi: 10.1016/0002-8703(51)90157-3.
5
Surgical correction of cardiovascular deformities in Marfan's syndrome.马凡综合征心血管畸形的外科矫治
Ann Surg. 1960 Sep;152(3):506-17.
6
The cardiovascular aspects of Marfan's syndrome: a heritable disorder of connective tissue.马凡氏综合征的心血管方面：一种遗传性结缔组织疾病。
Circulation. 1955 Mar;11(3):321-42. doi: 10.1161/01.cir.11.3.321.
7
AORTIC INSUFFICIENCY SECONDARY TO ANEURYSMAL CHANGES IN THE ASCENDING AORTA: SURGICAL MANAGEMENT.
J Thorac Cardiovasc Surg. 1964 Sep;48:362-79.
8
SUCCESSFUL REPLACEMENT OF THE ENTIRE ASCENDING AORTA AND AORTIC VALVE.成功置换整个升主动脉和主动脉瓣。
JAMA. 1964 May 25;188:717-9. doi: 10.1001/jama.1964.03060340015004.
9
CARDIOVASCULAR SURGERY IN MARFAN'S SYNDROME.马凡综合征的心血管外科手术
Ann Surg. 1963 Dec;158(6):990-9. doi: 10.1097/00000658-196312000-00010.
10
Clinical considerations and surgical treatment of annulo-aortic ectasia. Report of successful operation.
J Thorac Cardiovasc Surg. 1961 Sep;42:363-70.