Fukui T, Shimizu Y, Takanashi S, Nishizawa K, Minamimura H, Hattori K, Fumimoto K, Noguchi M
Department of Cardiovascular Surgery, Osaka City General Hospital, Japan.
Kyobu Geka. 2000 Jan;53(1):60-3.
We report a case of left ventricular rupture and left ventricular-right atrial communication after mitral valve re-replacement. A 53-year-old man was admitted to our hospital for a primary tissue failure of mitral xenograft. On June 4, 1997, he underwent mitral valve re-replacement. At 12 post operative day, he was suffered from unexpected dyspnea. The transesophageal echocardiography showed floated mitral valve and left ventricular-right atrial communication. The emergent operation was done. At the operation, posterior mitral annulus was disrupted and the disruption reached to a membranous septum. A communication was directly closed, mitral annulus was repaired with perigard and one size smaller mitral valve was implanted. The patient was discharged and returned to social life.
我们报告一例二尖瓣再次置换术后左心室破裂及左心室-右心房交通的病例。一名53岁男性因二尖瓣异种移植原发性组织衰竭入住我院。1997年6月4日，他接受了二尖瓣再次置换术。术后第12天，他出现意外的呼吸困难。经食管超声心动图显示二尖瓣漂浮及左心室-右心房交通。遂进行急诊手术。术中发现二尖瓣后瓣环破裂，破裂延伸至膜性间隔。直接封闭交通口，用Perigard修补二尖瓣瓣环，并植入小一号的二尖瓣。患者出院并恢复了社会生活。
