对28年前植入的斯塔尔-爱德华兹主动脉瓣进行再次手术。

Reoperation for a Starr-Edwards aortic valve implanted 28 years earlier.

作者信息

Yoshida Katsuhiko, Fujii Genyo, Suzuki Shuichi, Ishida Hideki, Shimomura Takeru, Matsuura Akio

机构信息

Division of Cardiovascular Surgery, Cardiovascular Center, Aichi Prefectural Owari Hospital, 2135 Kariyasuka, Yamato-cho, Ichinomiya, Aichi 491-0934, Japan.

出版信息

Jpn J Thorac Cardiovasc Surg. 2002 Aug;50(8):341-2. doi: 10.1007/BF03032628.

DOI:10.1007/BF03032628

PMID:12229218

Abstract

A 56-year-old man admitted with dyspnea had undergone aortic valve replacement using a Starr-Edwards ball valve to treat aortic regurgitation 28 years earlier. Chest radiography showed moderate cardiomegaly, moderate pulmonary edema, and mild pleural effusion. Echocardiographic examination showed severe mitral regurgitation. The mitral valve was replaced using a St. Jude Medical prosthesis, and the Starr-Edwards aortic valve was replaced using a CarboMedics prosthetic valve. The cloth covering on the Starr-Edwards valve had worn away and pannus had formed. The patient's postoperative course was uneventful, and he was discharged on postoperative day 35.

摘要

一名因呼吸困难入院的56岁男性，28年前曾接受使用斯塔尔-爱德华兹球瓣进行主动脉瓣置换术以治疗主动脉瓣反流。胸部X线检查显示中度心脏扩大、中度肺水肿和轻度胸腔积液。超声心动图检查显示重度二尖瓣反流。使用圣犹达医疗公司的人工瓣膜置换二尖瓣，使用卡波美迪克斯人工瓣膜置换斯塔尔-爱德华兹主动脉瓣。斯塔尔-爱德华兹瓣膜上的布覆盖物已磨损且形成了血管翳。患者术后恢复顺利，术后第35天出院。