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題名 | Composite Graft Tear and Aortico-Left Ventricular Tunnel after Aortic Root Replacement Using Cabrol's Technique=主動脈根部置換術後布織人工血管破裂合併主動脈與左心室廔管 |
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作者姓名(中文) | 朱肇基; 張仁平; 林萍章; 張昭雄; | 書刊名 | 臺灣醫學會雜誌 |
卷期 | 99:2 2000.02[民89.02] |
頁次 | 頁170-173 |
分類號 | 416.262 |
關鍵詞 | 主動脈根部置換術; 布織人工血管; 主動脈; 左心室; 廔管; Woven graft tear; Aortic root replacement; Cabrol's anastomosis; Bentall operation; |
語文 | 英文(English) |
英文摘要 | Woven graft tear is a very rare complication after aortic root replacement using Cabrol's technique. In this report, we present a 40-year-old man with aortic annular ectasia and severe aortic regurgitation who underwent four revisional aortic valve operations because of recurrent paravalvular leakage after valve repair and/or replacement. The Bentall operation with translocated aortic valve and Cabrol's coronary artery anastomosis were performed in the fifth operation, because of progressive dilatation of the aortic root and ascending aorta. Unfortunately, aorticoventricular tunnel developed 2 years after aortic root replacement using Cabrol's technique. Graft tear and proximal anastomotic leakage were found to be the cause of the tunnel during the sixth operation. The patient died of myocardial failure 8 days after the seventh aortic root replacement operation. The devastating result of this complication should alert cardiovascular surgeons to the possibility of graft failure after the Bentall operation. |
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