Nair K K
J Thorac Cardiovasc Surg. 1976 May;71(5):765-7.
A case is described in which false aneurysm of the ascending aorta developed following corrective surgery for Marfan's syndrome. During the initial procedure, a dissecting aortic aneurysm and incompetent aortic valve were managed by replacing the valve with a Starr-Edwards prosthesis and the ascending aorta with a woven Dacron aortic prosthesis. Two years later the operation was repeated with the use of antibiotic cover, because the patient developed a paraprosthetic leak following subacute bacterial endocarditis with Staphylococcus aureus. The woman remained well for 6 months, after which she developed a false aneurysm of the ascending aorta and aortic incompetence which necessitated repeating the operation for a third time. The patient remains well one year later. Relevant literature available on false aneurysm of the ascending aorta is also reviewed.
本文描述了一例马方综合征矫正手术后发生升主动脉假性动脉瘤的病例。在初次手术中，采用Starr-Edwards人工瓣膜置换主动脉瓣，并用编织涤纶人工血管置换升主动脉，以处理主动脉夹层动脉瘤和主动脉瓣关闭不全。两年后，因患者在金黄色葡萄球菌所致亚急性细菌性心内膜炎后出现人工瓣膜旁漏，遂在使用抗生素预防的情况下再次手术。该女性患者术后6个月情况良好，之后出现升主动脉假性动脉瘤和主动脉瓣关闭不全，因此需要第三次手术。一年后患者情况良好。本文还回顾了关于升主动脉假性动脉瘤的相关文献。
