Kashikie H, Hisatomi K, Ando F, Suzuki S, Hayashida N, Isomura T, Kumade M, Aoyagi S, Kosuga K, Koga M
Second Department of Surgery, Kurume University School of Medicine.
Kyobu Geka. 1991 Feb;44(2):151-4.
We reported the successful case of valvuloplasty on the quadriscuspid pulmonary valve which had pulmonary regurgitation. A 38-year-old woman was admitted with the complaint of palpitation. Atrial septal defect and pulmonary regurgitation were revealed preoperatively by the cardiac catheterization and doppler echocardiography. The malcoaptation of the pulmonary valve and pulmonary dilatation were diagnosed in echocardiography. At operation, the pulmonary valve was found quadricuspid and each cusp was same in size. The patient underwent the valvuloplasty on the abnormal cusps and the remarkable improvement of the coaptation was examined postoperatively. The patient had good clinical course for three years after operation.
我们报道了一例成功进行的四叶式肺动脉瓣成形术治疗肺动脉反流的病例。一名38岁女性因心悸入院。术前通过心导管检查和多普勒超声心动图发现房间隔缺损和肺动脉反流。超声心动图诊断为肺动脉瓣对合不良和肺动脉扩张。手术中发现肺动脉瓣为四叶式，各瓣叶大小相同。患者对异常瓣叶进行了瓣膜成形术，术后检查发现瓣叶对合有显著改善。患者术后三年临床过程良好。
