主动脉窦瘤的外科治疗

Surgical treatment of aneurysm of aortic sinus

目的报告少见的先天性主动脉窦瘤外科治疗28例结果，探讨其发病机理、诊断和治疗以及手术的特殊处理。方法在体外循环下行心内直视主动脉窦瘤修补术，对不同类型的主动脉窦瘤和严重并发症进行不同的手术方式。结果全部痊愈出院，长期存活，全部得到随访，疗效优者27例，良者1例。结论彩色超声心动图为主动脉窦瘤的主要诊断方法，对于不同类型的主动脉窦瘤和伴发的病变应采用不同的手术方式和特殊处理对提高疗效极为重要。

Objective To report the result that twenty-eigh Patients (twenty-one males and seven femals)with congnital aneurysm of Valsalva's sinus (CAVS) were treated surgically, and to discuss the mechanisms, diagnesis and methods of operation in other to improve the effect of treatment. Methods All patients were pperated on under extracopo real circulation. Repair was accomplished by a combined approach through the aorta and the chamber involved. The wind sock-like deformity produced by the aneurysm and fistula was resected. The intemal orifice of the aneurysm was closed by direct suture and patch. Ventricular septal defects associated were patched. To treat moderte aortic regugitation caused by valve prolapse, valvuloplasty and Valvular replacement are performed. Results All paients were recovered completely and were followed up with good effect. Conclusion Colour doppler two-dimensional echocardiography is the best method for congenital aneurysm of Valsalva's sinus. Different methods of pperation must be taken for different type of CAVS and com plication. speial surgical way is very imporiant to ralse the effect of the treatment.