Kioka Y, Okada M, Yamada N, Togawa J, Tamamoto K
Department of Cardiovascular Surgery, Fukuyama Municipal Hospital, Japan.
Kyobu Geka. 1998 Jun;51(6):496-9.
A 51-year-old man with annuloaortic ectasia and aortic regurgitation, who did not have Marfan syndrome, underwent an aortic valve-sparing root reconstruction (remodeling). All three sinuses were excised and then the ascending aorta was replaced with a 30 mm collagen-impregnated Dacron graft, one of which ends were scalloped to reproduce pseudosinus. Each coronary artery orifice was anastomosed to the graft with Carrel patch method. Post-operative angiogram showed no aortic regurgitation and no pseudosinus formation, because the graft was slightly larger than the optimal one. The NYHA functional class has been improved III to I 18 months after the operation.
一名51岁男性，患有主动脉环扩张和主动脉反流，但无马凡综合征，接受了保留主动脉瓣的根部重建术（重塑术）。切除了所有三个窦，然后用一个30毫米的胶原浸渍涤纶移植物替换升主动脉，其中一端呈扇形以重现假窦。每个冠状动脉口用卡雷尔补片法吻合到移植物上。术后血管造影显示无主动脉反流且无假窦形成，因为移植物比最佳尺寸略大。术后18个月，纽约心脏协会（NYHA）心功能分级从III级改善到I级。
