心脏移植及连续性二尖瓣置换术。

Heart transplantation and consecutive mitral valve replacement.

作者信息

Aleksic I, Piotrowski J A, Kamler M, Massoudy P, Jakob H G

机构信息

Department of Thoracic and Cardiovascular Surgery, University Duisburg-Essen, Essen, Germany.

出版信息

Thorac Cardiovasc Surg. 2005 Jun;53(3):178-80. doi: 10.1055/s-2005-837548.

DOI:10.1055/s-2005-837548

PMID:15926100

Abstract

A 48-year-old man was diagnosed with progressive mitral insufficiency due to fibrosis of papillary muscles and chordae tendineae, necessitating mitral valve replacement (MVR) 8 months after cardiac transplantation. Donor echocardiography and inspection of the heart at procurement were inconspicuous. The patient is alive, free from valve-related complications and functionally improved six years after MVR. The limited yet successful experiences with left-sided valve repair or replacement in the transplanted heart are reviewed.

摘要

一名48岁男性因乳头肌和腱索纤维化被诊断为进行性二尖瓣关闭不全，在心脏移植8个月后需要进行二尖瓣置换术（MVR）。供体心脏超声心动图检查和获取心脏时的检查均未发现异常。患者在二尖瓣置换术后六年仍存活，无瓣膜相关并发症，功能有所改善。本文回顾了在移植心脏中进行左侧瓣膜修复或置换的有限但成功的经验。