CAJ | 학술논문

目的总结主动脉窦瘤破裂患者破裂类型及外科治疗经验.方法对19例主动脉窦瘤破裂患者手术治疗情况进行回顾性分析.合并室间隔缺损10例,主动脉瓣关闭不全6例,其他畸形6例(有的同时合并几种畸型),并发感染性心内膜炎2例.所有患者均及时施行了手术治疗.结果发生于右冠状动脉窦者15例,其中12例破入右室,3例破入右房;发生于无冠状动脉窦者3例,其中1例破入右室,2例破入右房;发生于左冠状动脉窦者1例,破入左室.全组无手术死亡,1例出现主动脉瓣轻至中度返流,全部患者均痊愈出院.结论主动脉窦瘤以右冠状动脉窦瘤最常见,且多数破入右室;主动脉窦瘤破裂一经确诊,应尽早手术治疗,以免延误手术时机,合并感染性心内膜炎尤其如此.
목적 총결주동맥두류파렬환자파렬류형급외과치료경험.방법 대19례주동맥두류파렬환자수술치료정황진행회고성분석.합병실간격결손10례,주동맥판관폐불전6례,기타기형6례(유적동시합병궤충기형),병발감염성심내막염2례.소유환자균급시시행료수술치료.결과 발생우우관상동맥두자15례,기중12례파입우실,3례파입우방;발생우무관상동맥두자3례,기중1례파입우실,2례파입우방;발생우좌관상동맥두자1례,파입좌실.전조무수술사망,1례출현주동맥판경지중도반류,전부환자균전유출원.결론 주동맥두류이우관상동맥두류최상견,차다수파입우실;주동맥두류파렬일경학진,응진조수술치료,이면연오수술시궤,합병감염성심내 막염우기여차.
Objective To summarize the ruptured types and surgical treatment experience for rupture of aortic sinus aneurysm. Methods Nineteen cases with aneurysm of aortic sinus were retrospectively analyzed. There were 10 cases with ventricular septal defect,6 cases with aortic valvular incompetence,6cases with other diseases,2 cases complicated by infective endocarditis. All cases underwent operational treatment. Results There were 15 cases of right aneurysm of aortic sinus,including 12 cases among them ruptured into right ventricle,3 cases rupture was penetrated into right atrium.There were 3 cases of null aneurysm of aortic sinus,including 1 case among them ruptured into right ventricle,2 cases ruptured into right atrium. There was 1 case of left aneurysm of aortic sinus, which ruptured into left ventricle. No operative death occurred in all, 1 case with aortic regurgitation light to moderate,and all cases were recovered.Conclusions The right aneurysm of aortic sinus is the most common types,and always rupture into right ventricle. It is important that aneurysm of aortic sinus should be operated as early as possible in order to avoid losing the chance of operation, particular in the patients complicated by infective endocarditis.