巨大未破裂左窦主动脉瘤合并严重主动脉反流的外科治疗。

IF 0.9 4区医学 Texas Heart Institute Journal Pub Date : 2023-10-10 DOI:10.14503/THIJ-23-8134

Keisuke Ozawa, Kenji Kuwaki, Hidekazu Furuya, Masaomi Yamaguchi, Akiyoshi Yamamoto

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引用次数: 0

摘要

左侧窦性瓦尔萨尔瓦动脉瘤极为罕见。伴有主动脉瓣反流是该病的一种合并症。本病例报告总结了一名49岁女性患者的主动脉根部置换术和改良Bentall手术的成功治疗，该患者患有未破裂的巨大左窦瓦尔萨尔瓦动脉瘤，并伴有严重的主动脉瓣反流。术中评估显示，冠状动脉左主干和瓦尔萨尔瓦动脉瘤左窦之间存在严重粘连，需要细致的粘连脱离。

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Surgical Management of Giant Unruptured Left Sinus of Valsalva Aneurysm With Severe Aortic Regurgitation.

Left sinus of Valsalva aneurysms are extremely rare. Concomitant aortic valve regurgitation is a comorbidity in this pathology. This case report summarizes successful surgical treatment with aortic root replacement with a modified Bentall procedure in a 49-year-old female patient who had an unruptured huge left sinus of Valsalva aneurysm with severe aortic valve regurgitation. The intraoperative assessment showed severe adhesion between the left main trunk of the coronary artery and the left sinus of Valsalva aneurysm, and meticulous adhesion detachment was required.

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来源期刊

Texas Heart Institute Journal CARDIAC & CARDIOVASCULAR SYSTEMS-

自引率

11.10%

发文量

131

期刊介绍： For more than 45 years, the Texas Heart Institute Journal has been published by the Texas Heart Institute as part of its medical education program. Our bimonthly peer-reviewed journal enjoys a global audience of physicians, scientists, and healthcare professionals who are contributing to the prevention, diagnosis, and treatment of cardiovascular disease. The Journal was printed under the name of Cardiovascular Diseases from 1974 through 1981 (ISSN 0093-3546). The name was changed to Texas Heart Institute Journal in 1982 and was printed through 2013 (ISSN 0730-2347). In 2014, the Journal moved to online-only publication. It is indexed by Index Medicus/MEDLINE and by other indexing and abstracting services worldwide. Our full archive is available at PubMed Central. The Journal invites authors to submit these article types for review: -Clinical Investigations- Laboratory Investigations- Reviews- Techniques- Coronary Anomalies- History of Medicine- Case Reports/Case Series (Submission Fee: $70.00 USD)- Images in Cardiovascular Medicine (Submission Fee: $35.00 USD)- Guest Editorials- Peabody’s Corner- Letters to the Editor