先天性主动脉窦瘤及合并心脏畸形的外科治疗  

Surgical treatment of aneurysm of valsalva sinus associated with cardiac anomalism

作　　者：葛圣林[1] 周汝元[1] 林敏[1] 葛建军[1] 张士兵[1] 张飞[1] 李峰[1] 

机构地区：[1]安徽医科大学第一附属医院心脏外科,合肥230022

出　　处：《安徽医科大学学报》2006年第1期97-99,共3页Acta Universitatis Medicinalis Anhui

摘　　要：目的探讨先天性主动脉窦瘤及合并心脏畸形的外科治疗方法。方法外科治疗先天性主动脉窦瘤患者27例。27例均补片修补窦壁，其中合并室间隔缺损的18例用单个补片覆盖修补窦壁和室间隔缺损17例（94．44％）、主动脉瓣成形5例（18．52％）、主动脉瓣置换4例（14．82％）。结果死亡1例（3．70％），治愈出院26例（96．30％）。随访1个月～4年，超声心动图检查示主动脉瓣轻度反流3例。结论补片是治疗主动脉瓣窦瘤的有效方法。Objective To study surgical treatment of congenital aneurysm of valsalva sinus （AVS） associated with ventricular septum defect （VSD） or/and aortic valvular insufficiency （AVI）. Methods Of 27 patients with AVS undergoing surgery, 14 with AVS were associated with AVI （51.85%） and 18 with VSD（66.67% ）. The surgical procedures included patch repair of AVS in all the patients, of whom,5 associated with AVI received valvuloplasty, 4 with AVI replacement of aortic valve, and 17 with VSD mere one patch repair. Results Of 27 patients with AVS, 1 died of the operation （ 3.70% ） and 26 survived （96.30%）. 26 patients were followed up from 1 to 48 months, trivial AVI in 3, neither recurrence nor residual shunt of AVS and VSD in all. Conclusion Patch-repaired is an effective method.

关 键 词：主动脉窦瘤/外科学 主动脉窦瘤/先天性 室间隔 缺损/外科学 主动脉瓣关闭不全/外科学 

分 类 号：R543.16[医药卫生—心血管疾病] R654.3[医药卫生—内科学]