术中经食管超声心动图检测到瓣膜小叶粘连。

Stuck valve leaflet detected by intraoperative transesophageal echocardiography.

作者信息

Kumano H, Suehiro S, Shibata T, Hattori K, Kinoshita H

机构信息

Second Department of Surgery, Osaka City University Medical School, Osaka, Japan.

出版信息

Ann Thorac Surg. 1999 May;67(5):1484-5. doi: 10.1016/s0003-4975(99)00212-x.

DOI:10.1016/s0003-4975(99)00212-x

PMID:10355441

Abstract

We encountered a rare complication of mitral valve replacement with the CarboMedics prosthesis: a "stuck" leaflet detected by transesophageal echocardiography even though weaning from cardiopulmonary bypass had been uneventful. The patient was immediately managed without significant problems. We emphasize the importance of performing routine intraoperative transesophageal echocardiography in valve replacement as well as in valve repair, from the initial phase of operation.

摘要

我们遇到了使用CarboMedics人工瓣膜进行二尖瓣置换术的一种罕见并发症：经食管超声心动图检测到一个瓣叶“卡住”，尽管脱离体外循环过程顺利。患者立即得到处理，未出现重大问题。我们强调在瓣膜置换术以及瓣膜修复术中，从手术初始阶段就进行常规术中经食管超声心动图检查的重要性。