摘要
低温体外循环下手术治疗主动脉窦瘤破裂１６例，采用右房切口１例，右室流出道切口１１例，窦瘤破入腔室和主动脉根部双切口４例。单纯窦瘤破口修补２例；双头垫片针窦癌基部与室间隔缺损并列间断褥式缝合修补３例；主动脉窦瘤和室间隔缺损分别补片修补２例；缝合窦瘤破口加补片与空间隔缺损一并修补７例，主动脉瓣替换加窦瘤修补１例，主动脉瓣脱垂行主动脉瓣折叠悬吊１例。主动脉阻断时间３３～９２分钟，全组术后顺利康复出院。随访１０～６０个月，心功能均恢复至Ⅰ级。
Sixteen cases with rupture of aortic sinus aneurysm (RASV) were treated surgically under CPB with hypothermia. In which right atrium incision was performed in 1 case,right ventricular outflow tract incision in 11 cases,double incision of RVOT and root ofthe aorta in 4 cases. Among them,single repair of ruptured aneurysm were performed in2 cases base of the aneurysm and VSD were sewn together with discontinued pledgetedhorizontal mattress sutures in 3 cases,RASV and VSD were patched using Decron felt in2 cases respectively. Aneurysm that were closed with mattress sutured and VSD werepatched with one piece of Decron felt 8 cases,single repair of aneurysm and AVR simultaneausly in 1 case. Arotic valvuloplasty in 1 case of aortic valve prolapse. Bolking timeof the aorta were from 33 to 92 minuts. There were no mortality and morbidity. 10 to 60months following visit postoperatively showed that all patient were in NYHA FunctionalClass 1.
出处
《临沂医学专科学校学报》
1996年第4期283-285,共3页
Journal of Linyi Medical College
关键词
主动脉窦瘤
心间隔缺损
外科手术
治疗
Rupture of aortic sinus aneurysm
Ventricular septal defect
Surgical treatment
