Sapsford R N, Fitchett D H, Tarin D, Anderson R H
J Thorac Cardiovasc Surg. 1979 Jul;78(1):79-86.
Three cases are described of aneurysms of the area of fibrous continuity between the aortic and mitral valves, each associated with infective endocarditis of the aortic valve. In two cases surgical treatment was successful, one of these having been diagnosed by angiography prior to operation. The other case was discovered only at autopsy, but the histologic findings showed the lesion to be a true aneurysm. Although some cases have been successfully managed by operation, most have proved fata. These cases and the previous successes illustrate the potential value of urgent operation.
本文描述了3例主动脉瓣与二尖瓣纤维连续区域的动脉瘤病例,每例均伴有主动脉瓣感染性心内膜炎。其中2例手术治疗成功,1例在术前经血管造影确诊。另一例仅在尸检时发现,但组织学检查结果显示该病变为真性动脉瘤。尽管部分病例通过手术成功治疗,但多数病例已证实预后不良。这些病例及先前的成功案例说明了紧急手术的潜在价值。