| Autor: |
Kazuhito, Tatsu, Moriichi, Sugama, Satoshi, Kamata, Toru, Uezu, Yoichi, Uechi, Kotaro, Obunai |
| Rok vydání: |
2012 |
| Předmět: |
|
| Zdroj: |
Kyobu geka. The Japanese journal of thoracic surgery. 65(13) |
| ISSN: |
0021-5252 |
| Popis: |
A 74-year-old female who had been on hemodialysis for 4 years developed congestive heart failure. Severe mitral valve stenosis and tricuspid regurgitation were thought to be causes of her heart failure. She underwent a replacement of severely calcified mitral valve and an annuloplasty of tricuspid valve. We excised both mitral leaflets, however, just a 21 mm sizer could pass through the annulus. Because posterior annular calcification was so severe we could not palace sutures. Therefore, we placed noneverted horizontal mattress sutures from the left ventricle to the atrium on the anterior annulus, and everted horizontal mattress sutures on the posterior left atrial wall. A crescent-shaped felt patch was sutured to the posterior left atrial wall for annular reconstruction. Then the prosthetic valve was fixed onto this felt patch, resulting a 25 mm ATS valve was seated successfully at a supraannular position. Although the patient died from a sepsis on postoperative day 14, the prosthetic valve functioned normally without any perivalvular leakage. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
