先天性主动脉缩窄合并严重主动脉瓣病变的一次性外科矫治  

Single-Stage Surgical Correction of Aortic Coarctation With Severe Aortic Valve Disease

作　　者：刘永民[1] 孙立忠[1] 罗新锦[1] 

机构地区：[1]中国医学科学院中国协和医科大学心血管病研究所阜外心血管病医院心外科,北京市100037

出　　处：《中国循环杂志》2002年第4期301-303,共3页Chinese Circulation Journal

摘　　要：目的 :探讨先天性主动脉缩窄合并严重主动脉瓣病变的外科治疗方法。方法 :采用升主动脉—腹主动脉人工血管转流术 +主动脉瓣置换术一次性治疗患者 9例 ,其中 4例对手术方法和体外循环技术进行了改进。结果 :术中死于体外循环意外 1例 ;术后部分肠梗阻 1例 ,8例患者痊愈出院。上肢收缩压术后较术前下降〔平均12 2 /78mmHgvs .178/6 5mmHg( 1mmHg =0 133kPa)〕 ,有显著性差异 (P <0 0 5 ) ,术后上、下肢血压无明显压差。左心室舒张末期内径术后较术前缩小 ( 4 9 40± 6 88mmvs .6 7 33± 17 2 9mm) ,有显著性差异 (P <0 0 5 )。结论 :该类患者采用升主动脉—腹主动脉人工血管转流术 。Objective: To evaluate the surgical therapy of aortic coarctation with severe aortic valve disease. Methods: Nine patients underwent ascending-abdominal aortic bypass graft and aortic valve replacement. The techniques of operation and extracorpored circulation were modified successfully. Results: One died of the accident of extracorporeal circulation, One suffered from uncomplete postoperative intestenal obstruction and 8 survived the operation and left hospital. The blood pressure in the arms was evidently reduced and the blood pressure in the legs was elevated satisfactorily after the operation. Conclusion: It's safe, simple and effective for these patients to receive ascending-abdominal aortic bypass graft followed by aortic valve replacement under routine extracorporeal circulation.

关 键 词：先天性主动脉缩窄 主动脉瓣病变 一次性外科矫治 外科手术 

分 类 号：R654.2[医药卫生—外科学]