| A Successful Case
of Concomitant Aortic Valve Replacement Using an Intravalvular
Implantation Technique and Coronary Artery Bypass Grafting in
Aortitis Syndrome |
(First Department of Surgery, Kumamoto University
School of Medicine, Kumamoto, Japan)
| Hiroo Matsushita |
Ryuji Kunitomo |
Junichi Utoh |
| Masahiko Hara |
Nobuo Kitamura |
|
|
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.
Jpn. J. Cardiovasc. Surg. 29: 168-171 (2000) |
|
