Objective To evaluate the diagnostic methods and surgical treatment of aortic sinus aneurysm. Methods Thirtyone patients with aortic sinus aneurysm underwent surgical repair with balanced anesthesia under extracorporeal circulation by endotracheal intubation. Patients combined with cardiac anomalies underwent aortic valvuloplasty ( 1 case ), aortic valve replacement ( 2 eases) ,repair of ventricalar septal defect ( 12 eases) ,repair of atrial septal defect 15 eases) ,and deoppilation of right ventricular outflow tract ( 2 eases). Results There were no operative deaths. Thirty-one eases were followed up for 1 month ～ 5 years. Cardiac function of the patients recovered well,with no recurrence of residual shunt. Conclusions Aortic sinus aneurysm should be operated once confinned. For patients combined with aortic insufficiency,aortic valvuioplasty or aortic valve replacement should as well be adopted.%目的 探讨主动脉窦瘤的临床诊断方法与外科治疗策略.方法 31例主动脉窦瘤患者均于气管内插管静脉复合麻醉体外循环下行主动脉窦瘤修补术,合并心脏畸形者同时矫治,包括主动脉瓣成形1例,主动脉瓣置换2例,室间隔缺损修补术12例,房间隔缺损修补术5例,右室流出道疏通2例.结果 全组无手术死亡病例,术后随访1月至5年,无复发残余分流,心功能恢复良好.结论 主动脉窦瘤破裂一经确诊,需尽早手术,预后良好.对于合并主动脉关闭不全,应同期行主动脉瓣成形或主动脉瓣置换术.
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