Ishibashi Y, Aoki H, Tada Y, Miyatake T, Sudo Y, Murakami T
Department of Thoracic Surgery, Asahikawa City Hospital, Japan.
Kyobu Geka. 1995 Oct;48(11):929-32.
Between 1976 and 1994, sixteen patients who had annulo-aortic ectasia required aortic root replacements. Ten patients had annulo-aortic ectasia and 6 patients had aortic dissections. The operative techniques included Bentall procedure in 6, Cabrol procedure in 3 and Carrel patch procedure in 7. No hospital death was noted, although there were three major late complications and two of them died. First patient having Bentall procedure died from acute myocardial infarction because of the compressed left coronary artery by the wrapping aneurysmal wall. Second patient having Bentall procedure had enlargement of residual false lumen. Third patient having Cabrol procedure developed false aneurysm at the ostial anastomosis and died of cerebral haemorrhage. In contrast, no late complication has been noted in patients having Carrel patch procedure. Although further long-term follow-up is required, our experience suggests that Carrel patch procedure has less late complication.
1976年至1994年间，16例患有主动脉瓣环扩张症的患者需要进行主动脉根部置换术。其中10例患者患有主动脉瓣环扩张症，6例患者患有主动脉夹层。手术技术包括6例采用Bentall手术、3例采用Cabrol手术和7例采用Carrel补片手术。尽管有3例严重的晚期并发症，其中2例死亡，但无住院死亡病例。第一例接受Bentall手术的患者死于急性心肌梗死，原因是包裹性动脉瘤壁压迫左冠状动脉。第二例接受Bentall手术的患者残余假腔扩大。第三例接受Cabrol手术的患者在吻合口处出现假性动脉瘤并死于脑出血。相比之下，接受Carrel补片手术的患者未出现晚期并发症。尽管需要进一步的长期随访，但我们的经验表明，Carrel补片手术的晚期并发症较少。
