Chidichimo G, Rabitti G, Narducci C, Cini R, Caroli S, Marsocci G
G Ital Cardiol. 1980;10(4):399-404.
15 patients with aneurysm of ascending aorta associated with aortic valve incompetence has been treated by the replacement of the aortic valve and ascending aorta with reimplantation of the right coronary artery in 8 patients and both coronary arteries in 7. The operative mortality was 13% (2 patients). The follow up interval ranged from 6 months to three years (mean 20 months) and in all 13 patients there was an improving of functional class. A post-operative angiography was performed in 6 patients and in all of them was demonstrated the patency of the neoostia, a minimum paravalvular leak in one patient, and a pseudoaneurysm in another one. Proving the necessity of complete replacement of aneurysmal aorta, the Authors discuss the technique adopted with particular reference to the problem of reimplantation of the coronary arteries.
15例升主动脉瘤合并主动脉瓣关闭不全患者接受了主动脉瓣和升主动脉置换术，其中8例患者右冠状动脉再植，7例患者双侧冠状动脉再植。手术死亡率为13%（2例患者）。随访时间为6个月至3年（平均20个月），所有13例患者的心功能分级均有改善。6例患者进行了术后血管造影，所有患者均显示新开口通畅，1例患者有轻微瓣周漏，另1例患者有假性动脉瘤。作者通过讨论所采用的技术，特别是冠状动脉再植问题，证明了完全置换动脉瘤样主动脉的必要性。
