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[白塞病相关主动脉瓣反流的外科治疗]

[Surgical treatment of aortic valve regurgitation associated with Behçet's disease].

作者信息

Kohata S, Kawaue Y, Nakao T

机构信息

Department of Cardiac Surgery, Koseiren Hiroshima General Hospital, Japan.

出版信息

Nihon Kyobu Geka Gakkai Zasshi. 1993 Feb;41(2):254-7.

PMID:8473791
Abstract

We experienced a patient of aortic valve regurgitation associated with Behçet's disease. The patient underwent aortic valve replacement. There are 15 cases of valvular heart disease associated with Behçet's disease including this reported case. Patients often have perivalvular leakage after valve replacement because not only the aortic but also the surrounding aortic walls become inflamed from the effects of Behçet's disease. We treated our patient to prevent complication. The aortic valve was fixed from the outside of a 2/3 round aortic wall using a teflon strip. The operation was performed when the inflammatory signs and findings subsided, and an adrenal steroid was used after the operation. Satisfactory results were obtained, but since Behçet's disease is systemic progressive and chronic disease, strict observation of the patients and systemic controls of inflammation should be recommended continuously.

摘要

我们遇到了一位患有与白塞病相关的主动脉瓣反流的患者。该患者接受了主动脉瓣置换术。包括本报告病例在内,共有15例与白塞病相关的心脏瓣膜病病例。由于白塞病的影响,不仅主动脉,而且周围的主动脉壁都会发炎,患者在瓣膜置换术后常出现瓣周漏。我们对患者进行治疗以预防并发症。使用聚四氟乙烯条从2/3圆形主动脉壁外侧固定主动脉瓣。在炎症体征和表现消退后进行手术,并在术后使用肾上腺皮质激素。获得了满意的结果,但由于白塞病是一种全身性进行性慢性病,建议持续对患者进行严格观察和炎症的全身控制。

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