Takahara Y, Sudo Y, Sunazawa T, Nakajima N
Division of Cardiovascular Surgery, Funabashi Municipal Medical Center, Japan.
Ann Thorac Surg. 1998 Feb;65(2):535-7. doi: 10.1016/s0003-4975(97)01202-2.
An aneurysm of the left sinus of Valsalva producing aortic valve regurgitation was treated by excising the aortic root including the aneurysm but leaving the aortic valve leaflets. The aortic valve was reimplanted inside a graft. Postoperative examinations revealed normal aortic valve function. In this case, the cause of aortic valve regurgitation was due to deformity of the aortic annulus. An aortic valve-sparing operation is an appropriate method for such a case.
一名因瓦尔萨尔瓦窦左窦瘤导致主动脉瓣反流的患者,接受了切除包括瘤体在内的主动脉根部但保留主动脉瓣叶的手术。主动脉瓣被重新植入人工血管内。术后检查显示主动脉瓣功能正常。在这种情况下,主动脉瓣反流的原因是主动脉瓣环畸形。保留主动脉瓣手术是处理此类病例的合适方法。