Kainuma Y, Sakamoto T, Shimakura T, Yokoyama M, Hayashi H, Hashimoto A
J Cardiovasc Surg (Torino). 1978 Jul-Aug;19(4):389-96.
A dissecting aneurysm of the ascending and transverse aorta with heart failure due to sudden severe arotic valve insufficiency in a 47-year-old man has been treated successfully. Vasodilator therapy was done preoperatively, and then hemodynamics was improved markedly. A selective perfusion technique by using separate pumps at pre-determined flow-rates with hypothermia was utilized. The replacement of both the aortic valve and the ascending and transverse aorta involving brachiocephalic artery with a prosthetic valve and expanded polytetra-fluoroethylene coated woven Dacron grafts was performed.
一名47岁男性因升主动脉和横主动脉夹层动脉瘤伴急性严重主动脉瓣关闭不全导致心力衰竭，经治疗成功。术前进行了血管扩张剂治疗，随后血流动力学显著改善。采用了在预定流速下使用单独泵并结合低温的选择性灌注技术。用人工瓣膜和膨体聚四氟乙烯涂层编织涤纶移植物置换了主动脉瓣以及累及头臂动脉的升主动脉和横主动脉。
