Soeda M, Hata H, Iida M, Kimura H
Department of Cardiovascular Surgery, Okaya Enrei Hospital, Okaya, Japan.
Kyobu Geka. 2009 Feb;62(2):149-51.
A 49-year-old female suffered from increasing dyspnea from 2004. She had undergone mitral valve replacement with Carpentier-Edwards 1st-generation standard porcine bioprosthesis due to mitral stenosis 22-years ago. The echocardiography and catheterization showed mitral stenosis and, regurgitation. Re-replacement of the mitral prosthetic valve with ATS (27 mm) valve and tricuspid annuloplasty with Edwards MC3 Ring were successfully performed. There was no case who underwent so long post operative period after initial implantation of fragile prosthetic valve.
一名49岁女性自2004年起出现进行性呼吸困难。22年前，她因二尖瓣狭窄接受了Carpentier-Edwards第一代标准猪生物瓣膜二尖瓣置换术。超声心动图和心导管检查显示二尖瓣狭窄及反流。成功进行了用ATS（27毫米）瓣膜再次置换二尖瓣人工瓣膜以及用Edwards MC3环进行三尖瓣环成形术。在最初植入易碎人工瓣膜后经历如此长术后时间的情况尚无先例。
