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[冠状动脉旁路移植术后低射血分数缺血性二尖瓣反流的不停跳心脏二尖瓣修复术;一例报告]

[On pump beating heart mitral valve repair without aortic cross-clamp for low ejection fraction ischemic mitral regurgitation after coronary artery bypass grafting; report of a case].

作者信息

Tobe Satoshi, Omura A, Yoshida K, Fukase K, Tanimura N, Yamaguchi M

机构信息

Department of Cardiovascular Surgery, Akashi Medical Center, Akashi, Japan.

出版信息

Kyobu Geka. 2007 Nov;60(12):1111-3.

Abstract

A 59-year-old male with congestive heart failure caused by impaired left ventricular function after coronary artery bypass grafting (CABG) was referred to our hospital, and massive ischemic mitral regurgitation was detected by echocardiography. This patient underwent on-pump beating-heart mitral valve repair without aortic cross-clamp successfully through right thoracotomy. Postoperative echocardiography revealed no mitral regurgitation. The patient recovered uneventfully and was discharged on the 17th postoperative day. At 6th month after the operation, he is well without mitral regurgitation.

摘要

一名59岁男性,因冠状动脉旁路移植术(CABG)后左心室功能受损导致充血性心力衰竭,被转诊至我院,经超声心动图检查发现大量缺血性二尖瓣反流。该患者通过右胸切口成功进行了体外循环心脏跳动下二尖瓣修复术,未使用主动脉阻断钳。术后超声心动图显示无二尖瓣反流。患者恢复顺利,术后第17天出院。术后6个月,他情况良好,无二尖瓣反流。

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