Nakayama Takuya, Asano Miki, Matsumoto Kozo, Nomura Norikazu, Saito Takayuki, Mizuno Akihiro, Mishima Akira
Department of Cardiovascular Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Ann Thorac Surg. 2007 Nov;84(5):1745-6. doi: 10.1016/j.athoracsur.2007.06.065.
We report the case of a 53-year-old woman with Ebstein's anomaly and intractable heart failure who had undergone only tricuspid valve replacement 30 years earlier. She was treated conservatively for 1 month; however, she was placed in the New York Heart Association functional class IV. Therefore, we operated on her with the objective of improving her quality of life and cardiac function. One-and-a-half repair and a second tricuspid valve replacement with right ventriculoplasty were quite effective in ameliorating her critical condition.
我们报告了一例患有埃布斯坦畸形和顽固性心力衰竭的53岁女性病例，她在30年前仅接受了三尖瓣置换术。她接受了1个月的保守治疗；然而，她被评定为纽约心脏协会心功能IV级。因此，我们对她进行手术，目的是改善她的生活质量和心脏功能。1.5次修复以及第二次三尖瓣置换术加右心室成形术在改善她的危急病情方面相当有效。
