Wada S, Mitsui N, Mukai S, Sueda T, Matsuura Y, Roques X F, Laborde M N, Yssartier F, Baudet E M
First Department of Surgery, Hiroshima University, School of Medicine, Japan.
Hiroshima J Med Sci. 1994 Jun;43(2):73-6.
Among 81 patients who underwent orthotopic heart transplantation between July 1986 and December 1990, we found rupture of the donor ascending aorta in three patients, all with severe ventricular dysfunction secondary to aortic valvular disease. The mechanism for this may be compliance mismatch between the recipient ascending aorta and the donor ascending aorta. This situation is a unique complication in heart transplantation for the recipients who have severe athero-sclerotic changes in the systemic aortic wall, especially for those with valvular diseases caused by calcification.
在1986年7月至1990年12月期间接受原位心脏移植的81例患者中，我们发现3例供体升主动脉破裂，所有患者均因主动脉瓣疾病继发严重心室功能障碍。其机制可能是受体升主动脉与供体升主动脉之间的顺应性不匹配。这种情况是心脏移植中的一种独特并发症，尤其发生在全身主动脉壁有严重动脉粥样硬化改变的受体身上，特别是那些由钙化引起瓣膜疾病的患者。
