Di Benedetto G, Alfieri O, Locatelli G, Ferrazzi P, Villani M, Parenzan L
G Ital Cardiol. 1979;9(12):1386-92.
The Authors report their experience on the surgical treatment of ventricular septal defect and aortic regurgitation. Out of 13 patients operated upon, four required aortic valve replacement; five patients were treated with plasty of the aortic leaflets and four with the only patch closure of the V.S.D. There have not been reported hospital or late deaths. In one case, after the aortic plasty, the aortic regurgitation became severe; this patient had shown clinical signs of aortic regurgitation for more than five years before the operation. The Authors emphasize the surgical aggressiveness in this lesion when the aortic regurgitation has recently showed, whereas it is preferable to delay the operation when the aortic regurgitation has been present for more than five years.
作者报告了他们在室间隔缺损合并主动脉瓣关闭不全外科治疗方面的经验。在接受手术的13例患者中，4例需要置换主动脉瓣；5例接受了主动脉瓣叶成形术，4例仅行室间隔缺损修补术。未报告院内死亡或晚期死亡病例。有1例在主动脉瓣成形术后，主动脉瓣关闭不全加重；该患者在手术前已有超过5年的主动脉瓣关闭不全临床症状。作者强调，当近期出现主动脉瓣关闭不全时，对此病变应采取积极的手术治疗，而当主动脉瓣关闭不全已存在超过5年时，最好延迟手术。
