主动脉瓣置换术后升主动脉事件临床分析  

Clinical analysis of late aortic events after isolated aortic valve replacement

作　　者：魏波[1] 于存涛[1] 孙晓刚[1] 钱向阳[1] 常谦[1] 

机构地区：[1]中国医学科学院中国协和医科大学阜外心血管病医院外科,北京100037

出　　处：《中华实用诊断与治疗杂志》2013年第8期777-778,共2页Journal of Chinese Practical Diagnosis and Therapy

摘　　要：目的探讨主动脉瓣置换同时行升主动脉置换的手术指征。方法回顾性分析26例单纯主动脉瓣置换术后因出现升主动脉事件进行手术治疗的患者临床资料。结果本组中主动脉A型夹层11例,升主动脉瘤15例;行Bentall手术9例,升主动脉置换术10例,Bentall或升主动脉+全主动脉弓+象鼻支架置入术7例;本组无死亡病例。结论年龄较轻、二瓣化畸形主动脉瓣病变患者其升主动脉直径≥45mm应积极考虑行升主动脉置换术,避免远期升主动脉事件发生。Objective To study the indication of prophylactic replacement of dilated ascending aorta during aortic valve replacement. Methods The clinical data of 26 patients receiving operation due to aortic events after aortic valve replacement were retrospectively analyzed. Results There were 11 cases of type A aortic dissections and 15 of ascending aortic aneurysm. Bentall operation was performed in 9 cases. Ascending aorta replacement was done in 10 cases. Bentall operation or ascending aorta plus total aortic arch replacement and stented elephant trunk implantation was performed in 7 cases. No death occurred. Conclusion Ascending aortic replacement should be performed to prevent long-term aortic events in young patients with bicuspid aortic valve and an even slightly dilated ascending aorta with a diameter of 45 mm or larger.

关 键 词：主动脉瓣 主动脉瓣膜置换术 升主动脉事件 

分 类 号：R654.2[医药卫生—外科学]