Ogino H, Miki S, Matsubayashi K, Ueda Y, Nomoto T
Department of Cardiovascular Surgery, Tenri Hospital, Nara, Japan.
Ann Thorac Surg. 1998 Apr;65(4):1151-3. doi: 10.1016/s0003-4975(98)00054-x.
We performed two-stage repair for a rare adult case of interrupted aortic arch with aortic regurgitation and sinus of Valsalva aneurysm. A lateroisthmic bypass was established with minimal thoracotomy and partial clamping of the descending aorta to preserve collateral circulation. This was followed by aortic root reconstruction with a prosthetic graft and valve for aortic regurgitation with sinus of Valsalva aneurysm. This less invasive two-stage repair for such a rare pathology may facilitate smooth recovery of the patient.
我们对一例罕见的患有主动脉瓣反流和瓦氏窦瘤的成人主动脉弓中断病例进行了两阶段修复。通过微创胸廓切开术和部分钳夹降主动脉建立侧后分流，以保留侧支循环。随后，使用人工血管移植物和瓣膜对主动脉根部进行重建，以治疗伴有瓦氏窦瘤的主动脉瓣反流。对于这种罕见病变，这种侵入性较小的两阶段修复可能有助于患者顺利康复。
