Bounhoure J P, Bertrand M, Castany R, Soots G, Warembourg H, Stankowiak C, Puel P
Arch Mal Coeur Vaiss. 1976 Feb;69(2):139-42.
Basing themselves on 24 cases of aneurysm of the ascending aorta with gross aortic incompetence, the authors give an account of their personal experience of this condition. They emphasise: -- the problems of aetiology posed by this annular dilation of the aorta with its associated elastic tissue dystrophy which is seldom apparent except at histological examination of the aortic wall at percuaneous biopsy; --the operative problems which confront the surgeon, especially because the orifices of the coronary vessels are in the very centre of the aneurysm. The detail their modest surgical experience, and emphasise the advantages of using Bentall's operation systematically; it seems that this is likely to be the operation of choice in the future.
作者基于24例升主动脉瘤合并严重主动脉瓣关闭不全的病例，阐述了他们对此病症的个人经验。他们强调：——主动脉这种环形扩张及其相关弹性组织营养不良所引发的病因问题，这种情况除了在经皮活检时对主动脉壁进行组织学检查外，很少显现；——外科医生面临的手术问题，尤其是因为冠状动脉口位于动脉瘤的正中心。他们详细介绍了自己有限的手术经验，并强调系统采用Bentall手术的优势；看来这可能会成为未来的首选手术方式。
