Ohge H, Nakamura T, Shiraga K, Kohno S, Komiya T, Kanzaki Y
Department of Cardiovascular Surgery, Kurashiki Central Hospital, Okayama, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1994 Jul;42(7):1065-8.
A 20-year-old man of Marfan's syndrome who had mitral valve regurgitation, annuloaortic ectasia with aortic valve regurgitation and aortic arch aneurysm was successfully treated with radical operation. Mitral valve replacement was performed with superior wall incision of the left atrium directly. Complete transection of the aortic root made it easy to reach the mitral valve. The diameter of his ascending aorta was 70 mm, and modified Bentall' procedure, Carrel patch method, was performed. Aortic arch was 40 mm in diameter, and total aortic arch replacement was performed under hypothermic circulatory arrest. After the combined operation, patient was recovered uneventfully.
一名患有马凡综合征的20岁男性，有二尖瓣反流、瓣环主动脉扩张伴主动脉瓣反流及主动脉弓瘤，接受根治性手术后成功治愈。经左心房上壁切口直接进行二尖瓣置换术。完全横断主动脉根部便于暴露二尖瓣。其升主动脉直径为70mm，采用改良Bentall手术（Carrel补片法）。主动脉弓直径为40mm，在低温循环停止下行全主动脉弓置换术。联合手术后，患者恢复顺利。
