一名 60 岁男性冠状动脉起源解剖变异患者的改良 Cabrol 技术病例报告。

IF 0.8 Q4 SURGERY
Chirurgia Pub Date : 2024-08-01 DOI:10.21614/chirurgia.2967
Horaţiu Moldovan, Maria Sabina Safta, Liliana Mirea, Aida Badea, Elena Nechifor, Andrada Guţă, Lucian Dorobanţu, Cristian Voica, Mircea Robu, Daniela Gheorghiţă, Mihaela Crăciun, Alexandru Zăman, Raluca Ciomag
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引用次数: 0

摘要

导言:在大多数情况下,近端主动脉的重建手术包括使用主动脉导管,然后再植入冠状动脉造口。冠状动脉起源于某些解剖变异的情况虽然并不常见,但却给主动脉根部手术带来了额外的困难,因此需要采用不同的治疗原理。病例报告:我们在此提供一例 60 岁患者的病例,该患者具有多种心血管风险因素(吸烟、动脉高血压和血脂异常),患有严重的双尖瓣退行性狭窄,伴有升主动脉瘤和由动脉瘤引起的左冠状动脉明显外源性狭窄。患者患有严重的退行性双尖瓣主动脉瓣狭窄,伴有升主动脉瘤,动脉瘤导致左冠状动脉明显外源性狭窄。经过术前评估,决定对主动脉瓣和升主动脉进行手术治疗是最佳方案。手术中发现,左右冠状动脉口的起源位于左冠状动脉尖水平,两者形成了一个共同的冠状动脉按钮。鉴于这种特殊的解剖变异,手术决定通过中间的 10 号聚四氟乙烯(PTFE)血管假体,将它们作为一个共同的冠状动脉扣再植到主导管上。结论这是一例罕见的主动脉根部手术伴有冠状动脉造口起源变异 "枪管 "的病例,需要采用不同的再植方法:改良卡布罗尔技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Case Report of Modified Cabrol Technique in a 60-Year-Old Male with Coronary Origin Anatomical Variant.

Introduction: Reconstruction surgery of the proximal aorta in most cases involves the use of an aortic conduit, followed by reimplantation of the coronary ostia. Although uncommon, the origin of the coronary arteries in certain anatomical variants poses additional difficulties when performing surgery on the aortic root and requires a different treatment rationale. Case report: We hereby present the case of a 60-year-old patient with multiple cardiovascular risk factors (smoking, arterial hypertension and dyslipidemia), suffering from severe degenerative stenosis of a bicuspid aortic valve, associated with ascending aorta aneurysm and a significant extrinsic stenosis of the left coronary artery caused by the aneurysm. The patient presented with severe degenerative bicuspid aortic valve stenosis associated with ascending aorta aneurysm and a significant extrinsic stenosis of the left coronary artery caused by the aneurysm. Following the preoperative assessment, it was decided that the best course of action was to perform surgery on the aortic valve and ascending aorta. During the surgery, the origin of the right and left coronary ostia were found at the level of the left coronary cusp, both forming a common coronary button. Due to this particular anatomical variant, it was decided to reimplant them as a common button onto the main conduit by means of an interposed No.10 PTFE (Polytetrafluoroethylene) vascular prosthesis. Conclusion: A rare case of aortic root surgery associated with coronary ostia origin variant "shotgun barrel", which required a different method of reimplantation: modified Cabrol technique.

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来源期刊
Chirurgia
Chirurgia Medicine-Surgery
CiteScore
1.00
自引率
0.00%
发文量
75
审稿时长
4-8 weeks
期刊介绍: Chirurgia is a bimonthly journal. In Chirurgia, original papers in the area of general surgery which neither appeared, nor were sent for publication in other periodicals, can be published. You can send original articles, new surgical techniques, or comprehensive general reports on surgical topics, clinical case presentations and, depending on publication space, - reviews of some articles of general interest to surgeons from other publications. Chirurgia is also a place for sharing information about the activity of various branches of the Romanian Society of Surgery, information on Congresses and Symposiums organized by the Romanian Society of Surgery and participation notes in other scientific meetings. Letters to the editor: Letters commenting on papers published in Chirurgia are welcomed. They should contain substantive ideas and commentaries supported by appropriate data, and should not exceed 2 pages. Please submit these letters to the editor through our online system.
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