Tamura Y, Kawata T, Kameda Y, Tsuji T, Tabayashi N, Abe T, Ueda T, Naito H, Taniguchi S
Department of Surgery III, Nara Medical University, Kashihara, Japan.
Kyobu Geka. 2001 Aug;54(9):788-90.
In a patient with chronic hemodialysis, the high risk of calcific degeneration of biological prosthetic valve and anticoagulant related complications after valve replacement have been reported. A 71-year-old woman with hemodialysis underwent the edge to edge repair combined with ring-annuloplasty for mitral regurgitation caused by the anterior leaflet prolapse without any torn chordae. Postoperative course was uneventful. There was no significant mitral regurgitation. Double mitral orifices were confirmed by the postoperative echocardiography. A calculated functional mitral valve area was 3.06 cm2. The edge to edge repair is a simplified technique and carried out in a short time. We believe the edge to edge repair is a useful technique for anterior mitral valve prolapse in a patient with chronic hemodialysis.
在一名慢性血液透析患者中，已有报道称生物人工瓣膜钙化变性的高风险以及瓣膜置换术后抗凝相关并发症。一名71岁接受血液透析的女性因前叶脱垂导致二尖瓣反流且无任何腱索撕裂，接受了缘对缘修复联合瓣环成形术。术后过程顺利。无明显二尖瓣反流。术后超声心动图证实有双二尖瓣口。计算得出的功能性二尖瓣面积为3.06平方厘米。缘对缘修复是一种简化技术，且手术时间短。我们认为缘对缘修复对于慢性血液透析患者的前二尖瓣脱垂是一种有用的技术。
