Amrani M, Rubay J, Pirenne B, Col J, Dion R
Department of Cardiovascular and Thoracic Surgery, Cliniques Universitaires Saint-Luc, Brussels, Belgium.
Eur J Cardiothorac Surg. 1994;8(12):663-4. doi: 10.1016/s1010-7940(05)80177-0.
A 34-year-old woman experienced a 3-month history of recurrent chest pain on exertion. Extensive investigation, including coronary angiography, revealed severe aortic incompetence with suspicion of single-vessel coronary disease. At operation the aortic valve was tricuspid but the left coronary cusp was adherent to the aortic wall, resulting in isolation of the left coronary artery with only a tiny communication with the aortic lumen. The three cusps were excised. An aortic valve replacement was performed with an aortic homograft. The postoperative course was uneventful and myocardial ischemia was totally relieved.
一名34岁女性有劳力性反复胸痛3个月的病史。包括冠状动脉造影在内的广泛检查显示严重主动脉瓣关闭不全，怀疑有单支冠状动脉疾病。手术中发现主动脉瓣为三尖瓣，但左冠状动脉瓣叶与主动脉壁粘连，导致左冠状动脉孤立，仅与主动脉腔有微小交通。切除三个瓣叶。用主动脉同种异体移植物进行主动脉瓣置换。术后过程顺利，心肌缺血完全缓解。
