Sughimoto Koichi, Nakano Kiyoharu, Gomi Akihiko, Nakatani Hayao, Nakamura Yoshitsugu, Sato Atsuhiko
Chiba Cardiovascular Center, 575 Tsurumai, Ichihara, Chiba 290-0512, Japan.
Asian Cardiovasc Thorac Ann. 2008 Apr;16(2):157-8. doi: 10.1177/021849230801600217.
A 65-year-old woman with a Hancock valve implanted 25 years earlier for Ebstein's anomaly underwent a successful second tricuspid valve replacement with a Mosaic valve because of significant tricuspid regurgitation. At surgery, it was found that the Hancock valve had a cylinder-shaped hole and had lost its entire structure. Tricuspid valve dysfunction may be tolerated for a long time before surgery is contemplated.
一名65岁女性,25年前因埃布斯坦畸形植入了汉考克瓣膜,现因严重三尖瓣反流,成功接受了第二次三尖瓣置换术,植入了马赛克瓣膜。手术中发现,汉考克瓣膜有一个圆柱形孔洞,且整个结构已损坏。在考虑手术之前,三尖瓣功能障碍可能会被长期耐受。