Aortic Root and Ascending Aortic Aneurysm Related to One Case. Reimplantation of the Right Coronary Artery by 8 mm Dacron Tube (Cabrol Hemi Mustache) and Review of the Literature  

作　　者：Abdoulaye Kanté Bréhima Coulibaly Mamadou Diakité Samba Sidibé Drissa Traoré Bréhima Bengaly Mariam Daou Demba Yattera Nouhoum Ongoïba Abdoulaye Kanté;Bréhima Coulibaly;Mamadou Diakité;Samba Sidibé;Drissa Traoré;Bréhima Bengaly;Mariam Daou;Demba Yattera;Nouhoum Ongoïba(Department of Thoracic and Cardiovascular Surgery, CHU Point G, Bamako, Mali;Laboratory of Anatomy, University of Sciences, Techniques and Technologies of Bamako, Mali;Cardiology Department, CHU Point G, Bamako, Mali;Department of Neurology, CHU Gabriel Touré in Bamako, Mali)

机构地区：[1]Department of Thoracic and Cardiovascular Surgery, CHU Point G, Bamako, Mali [2]Laboratory of Anatomy, University of Sciences, Techniques and Technologies of Bamako, Mali [3]Cardiology Department, CHU Point G, Bamako, Mali [4]Department of Neurology, CHU Gabriel Touré in Bamako, Mali

出　　处：《Open Journal of Thoracic Surgery》2021年第1期1-10,共10页胸外科期刊（英文）

摘　　要：The aortic aneurysm is the 13th leading cause of death in Western countries. The incidence of thoracic aortic aneurysms is estimated at 4.5 cases per 100,000. The diagnosis is often made on a chest x-ray or other imaging tests, such as an echocardiogram done for other heart diseases. Echocardiography is the first test to assess the diameter of the ascending aorta and its progression over time. Most patients are first assessed and followed up with spiral thoracic computed tomography with injection of contrast medium, supplemented by 3-dimensional reconstruction of the aneurysm in order to improve the accuracy of measurements, identification of its proximal part and distal. When dilation of the ascending aorta reaches the critical diameter of 50 mm, there is a risk of aortic dissection or rupture. Supravalvular aneurysms are treated by replacing the ectatic portion with a Dacron<span style="white-space:nowrap;">&#174</span> tube in the supracoronary position. Aortic root aneurysms, including coronary ostia, require tube replacement, reimplantation of coronary ostia, as well as surgery on the aortic valve. In this article, we report a case of aneurysm of the aortic root and the ascending aorta treated by aortic valve replacement and the ascending aorta associated with the Cabrol hemi-mustache technique and we review the literature.The aortic aneurysm is the 13th leading cause of death in Western countries. The incidence of thoracic aortic aneurysms is estimated at 4.5 cases per 100,000. The diagnosis is often made on a chest x-ray or other imaging tests, such as an echocardiogram done for other heart diseases. Echocardiography is the first test to assess the diameter of the ascending aorta and its progression over time. Most patients are first assessed and followed up with spiral thoracic computed tomography with injection of contrast medium, supplemented by 3-dimensional reconstruction of the aneurysm in order to improve the accuracy of measurements, identification of its proximal part and distal. When dilation of the ascending aorta reaches the critical diameter of 50 mm, there is a risk of aortic dissection or rupture. Supravalvular aneurysms are treated by replacing the ectatic portion with a Dacron<span style="white-space:nowrap;">&#174</span> tube in the supracoronary position. Aortic root aneurysms, including coronary ostia, require tube replacement, reimplantation of coronary ostia, as well as surgery on the aortic valve. In this article, we report a case of aneurysm of the aortic root and the ascending aorta treated by aortic valve replacement and the ascending aorta associated with the Cabrol hemi-mustache technique and we review the literature.

关 键 词：Aortic Root and Ascending Aortic Aneurysm Aortic Valve Replacement and Ascending Aorta Cabrol’s Hemi Mustache 

分 类 号：R54[医药卫生—心血管疾病]