Miralles A, Farinola T, Quiroga J, Obi C, Hernandez J, Granados J, Fontanillas C, Saura E, Benito M, Calbet J M
Department of Cardiac Surgery, Ciutat Sanitaria i Universitaria de Bellvitge, Hospital Princeps d'Espanya, Barcelona, Spain.
Ann Thorac Surg. 1995 Oct;60(4):1098-100. doi: 10.1016/0003-4975(95)00431-j.
Aortic regurgitation is one of the usual pathologic findings necessitating valve replacement in cardiac surgery. Several diseases may result in leaflet incompetence. Circumferential intimal tear of the aortic root with prolapse of the aortic valve commissures is a rare cause of aortic incompetence. We report the repair of the aortic wall and valve in 1 patient with such a tear 6 months after an important thoracic trauma. Three months after the aortic valve reconstruction the patient is in good condition and fully asymptomatic.
主动脉瓣反流是心脏手术中需要进行瓣膜置换的常见病理表现之一。多种疾病可能导致瓣叶功能不全。主动脉根部环形内膜撕裂伴主动脉瓣交界脱垂是主动脉瓣关闭不全的罕见原因。我们报告了1例在严重胸部创伤6个月后出现这种撕裂的患者的主动脉壁和瓣膜修复情况。主动脉瓣重建3个月后，患者情况良好，完全无症状。
