Aortic Root Surgery in Connective Tissue Conditions - Surgery Series (2/10/21)
45:48-46:55
Q:
What does it feel like for the patient if they're having an aortic root problem? Can they feel that something is wrong?
大動脈基部に異変が起きた場合、自覚症状はありますか？
A:
Dissection, yes. I think the most telling thing about aortic dissection and I ask my patients all the time and, you know, what every single patient will tell you the day, the date, the time, what they were doing, what they were wearing, okay, and, and what that tells you is it's often really abrupt, out of nowhere, but it's also really serious. It's most common, most commonly is chest pain. That's a dissection.
大動脈解離では自覚症状があります。私は必ず患者さんに聞き取りを行いますが、どの患者さんも、解離が起きた日時、どこで何をしていたか、どのような服装をしていたかなどをお話になります。つまり何を言いたいかというと、まったく何の前触れもなく突然起きるのが大動脈解離だということです。しかも、とてつもなく重篤な症状であるということです。最も一般的な症状は胸痛です。
With regards to a root aneurysm you typically won't feel anything but if your valve is leaking because of it, because the valve leaks because as the root grows the leaflets are sort of pulled apart the valve doesn't meet in the middle and it leaks. An astute doctor can hear a murmur. Murmur's just that extra sound of some swirling blood flow related to the valve leaking. If it's leaking a lot anybody, you know, anybody with a stethoscope can hear it. If it's leaking a little bit a good doc can hear it.
大動脈基部に動脈瘤ができた場合ですが、通常は何も感じません。基部が拡張することで弁が引っ張られ、中心部で合わなくなるとリークが生じます。注意深い医師であれば、心雑音が聞こえます。心雑音とは、弁からのリークにより生じる余分な音のことです。大量のリークであれば、聴診器で聞き取ることができます。熟練した医師であれば、リークが僅かでもわかります。
The Marfan Foundation did not participate in the translation of these materials and does not in any way endorse them. If you are interested in this topic, please refer to our website, Marfan.org, for materials approved by our Professional Advisory Board.
The Marfan Foundation は、当翻訳には関与しておらず、翻訳内容に関してはいかなる承認も行っておりません。このトピックに興味をお持ちの方は、Marfan.org にアクセスし、当協会の専門家から成る諮問委員会が承認した内容をご参照ください。
