[乙状结肠血管发育异常合并主动脉狭窄一例报告]

Ohata T, Takenaka H, Iwase K, Ishizaka T, Hiranaka T, Furutani Y, Tanaka T

Department of Surgery, Kinan General Hospital, Wakayama, Japan.

Nihon Geka Gakkai Zasshi. 1993 Aug;94(8):869-72.

Partial sigmoidectomy and then after 84 days aortic valve replacement were performed as a staged operation on a patient with Heyde syndrome, consisting of aortic stenosis and angiodysplasia of the sigmoid colon. An emergent sigmoidectomy was performed because of continuous bleeding from angiodysplasia of the sigmoid colon. Postoperative arteriography showed the persistence of angiodysplasia. Endoscopic examination of the residual angiodysplasia was performed before and after valve replacement and there was no morphological change.

对一名患有海德综合征（包括主动脉瓣狭窄和乙状结肠血管发育异常）的患者进行了分期手术，先进行了部分乙状结肠切除术，84天后进行了主动脉瓣置换术。由于乙状结肠血管发育异常持续出血，进行了急诊乙状结肠切除术。术后动脉造影显示血管发育异常持续存在。在瓣膜置换术前和术后对残留的血管发育异常进行了内镜检查，未发现形态学变化。