大血管外科研讨.ppt

主动脉根部扩张病变的外科治疗 主动脉根部病变的病因 继发于升主动脉瘤的主动脉根部扩张 结缔组织病如Marfan综合征和Ehlers-Danlos综合征：病变可累及主动脉窦、主动脉瓣环以及窦管交界，但瓣叶较少累及。受累部位可导致主动脉根部扩张 主动脉根部、升主动脉夹层 合并有退行性变的老年患者，尤其是合并动脉粥样硬化者 先天性疾病如主动脉瓣二叶化畸形、主动脉瓣上狭窄 其他：如大动脉炎、外伤、感染等 主动脉根部解剖结构 Ascending aortic replacement with remodeling of the sinotubular junction Aortic insufficiency can occur in the setting of either isolated ascending aortic aneurysms or due to aortic root aneurysms. Typically these patients are older and have a large ascending aortic aneurysm and aortic insufficiency. The preoperative echocardiogram will demonstrate loss of STJ defin