马凡综合征心血管病变的外科治疗  

SURGICAL MANAGEMENT OF CARDIOVASCULAR ASPECT IN MARFAN' S SYNDROME

作　　者：吴若彬[1] 蔡增欣[1] 张镜芳[1] 罗征祥[1] 章晓华[1] 郭惠明[1] 黄克力[1] 

机构地区：[1]广东省人民医院心外科,510080

出　　处：《广东医学》1997年第8期514-515,共2页Guangdong Medical Journal

摘　　要：采用Bentall术式治疗13例马凡综合征。其主动脉瘤为DeBakeyⅠ型2例。Ⅱ型11例．均伴有重度主动脉辩关闭不全。手术死亡1例（7．7%）．为感染性心内膜炎致死。余12例无严重并发症。随访1~29个月，情况良好，作者对手术适应证、术中心肌保护、术中采用价循环上胜静脉道灌技术、预防感染及防治术后心律紊乱等问题进行讨论。Between Dec. 1991 to Apr. 1997, thirteen patients ofMarfan's syndrome underwent Bentall operation. Aortic a-neurysm was classified as DeBakey Type I in 2 cases, TypeⅡ 11, all with severe aortic insufficiency. Mortality was7. 7 % (1/13), one died of infective endocarditis. No signif-icant complications oceurred in other 12 cases. Follow - upwas 1 ~ 29 month, no late death repsorted. Indication , my-(x'ardial Protection, circulatory arrest with retrograde cerebralperfusion via superior vena cava, prevention of infeetion andpost - operating arrhythmia were discussed.

关 键 词：马凡综合征 外科手术 心血管病 动脉肿瘤 

分 类 号：R654.05[医药卫生—外科学] R732.210.5[医药卫生—临床医学]