Aortic and Pulmonary Valve Reconstruction Using Autologous Pericardium in Narrow Annuli
| Autor: | Yosuke Takahashi, Akimasa Morisaki, Toshihiko Shibata, Hiromichi Fujii, Kokoro Yamane, Noriaki Kishimoto, Takashi Murakami, Yoshito Sakon |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty 030204 cardiovascular system & hematology Pulmonary Artery Transplantation Autologous 03 medical and health sciences 0302 clinical medicine Internal medicine medicine.artery medicine Humans cardiovascular diseases Cardiac skeleton Aged Pulmonary Valve business.industry medicine.disease Aneurysm Pulmonary Valve Stenosis Stenosis medicine.anatomical_structure 030228 respiratory system Pulmonary valve Aortic valve stenosis Aortic Valve Pulmonary valve stenosis Pulmonary artery cardiovascular system Ventricular pressure Cardiology Surgery Female Cardiology and Cardiovascular Medicine business Pericardium Vascular Surgical Procedures Artery |
| Zdroj: | The Annals of thoracic surgery. 109(1) |
| ISSN: | 1552-6259 |
| Popis: | A 71-year-old woman with pulmonary artery aneurysm had a complication of pulmonary valve stenosis with estimated right ventricular pressure 135 mm Hg and severe aortic valve stenosis with peak pressure gradient 112 mmHg. Coronary angiography revealed stenosis of the left coronary arterial system. Because she presented with narrow pulmonary annulus (16.7 mm) and aortic annulus (19.7 mm), we decided to perform aortic and pulmonary valve reconstruction using autologous pericardium. We performed aneurysmorrhaphy of the pulmonary artery, dual-valve reconstruction, and coronary artery bypass grafting. Postoperative echocardiography showed good opening of dual valves without regurgitation; estimated right ventricular pressure was 23 mm Hg. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|