A Successful Case of Conccmitant Aortic Valve Replacement Using an Intravalvular Implantation Technique and Coronary Artery Bypass Grafting in Aortitis Syndrome.
10.4326/jjcvs.29.168
- VernacularTitle:弁輪補強材として自己弁尖を温存利用した大動脈弁置換術と冠状動脈バイパス術を同時に行った大動脈炎症候群の１治験例
- Author:
Hiroo Matsushita
;
Ryuji Kunitomo
;
Junichi Utoh
;
Masahiko Hara
;
Nobuo Kitamura
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2000;29(3):168-171
- CountryJapan
- Language:Japanese
-
Abstract:
Aortitis syndrome is a disease of non-specific inflammation of the arterial wall which produces necrosis and fibrosis of the intima. Indications, timing, and the choice of operative procedures should be determined carefully because of its complex pathology. We encountered a patient with combined aortic valve incompetence and left main coronary artery stenosis due to aortitis syndrome. The patient received adequate steroid therapy and the inflammatory reaction was well controlled before surgery. The patient underwent concomitant aortic valve replacement using an intravalvular implantation technique and coronary artery bypass grafting. The hospital course of the patient was uneventful. Neither paravalvular leakage nor inflammatory recurrence was observed during 18 months of follow-up.
