Sakashita I, Takeuchi Y, Otani S, Kudo S, Washio M
Jpn Heart J. 1976 May;17(3):422-7. doi: 10.1536/ihj.17.422.
In this report, the development of false aneurysm of the ascending aorta 8 years following the repair of congenital aortic stenosis is described. A 14-year-old male patient was found to have congenital aortic stenosis in 1966 after medical check-up and subsequently operated upon. In the postoperative period, he was complicated by remittent fever of 1 month's duration, which was finally controlled by antibiotics. Arterial blood cultures taken on a few occasions were negative. Eight years and 5 months after surgery, he was noticed to have a mediastinal mass around the base of the heart and the presence of false aneurysm was confirmed by aortography. Aneurysmectomy was carried out almost 9 years after the previous operation, and it was found that aneurysm was arising from the suture line of the aortotomy with communication to the aorta at the bottom of the aneurysm. Postoperatively, patient's recovery was uneventful and was discharged on the 23rd postoperative day. Etiology, timing of operation and techniques utilizing hypothermia and/or circulatory arrest are discussed.
本报告描述了先天性主动脉瓣狭窄修复术后8年升主动脉假性动脉瘤的发生情况。一名14岁男性患者于1966年体检时发现先天性主动脉瓣狭窄，随后接受了手术。术后，他出现了持续1个月的弛张热，最终通过抗生素得到控制。多次采集的动脉血培养均为阴性。手术8年零5个月后，发现他心脏底部周围有纵隔肿块，主动脉造影证实存在假性动脉瘤。在前次手术近9年后进行了动脉瘤切除术，发现动脉瘤起源于主动脉切开术的缝合线处，与动脉瘤底部的主动脉相通。术后，患者恢复顺利，术后第23天出院。本文还讨论了病因、手术时机以及使用低温和/或循环停止的技术。
