Matsuoka M, Saitoh K, Kinoshita T, Fujii H
Department of Thoracic and Cardiovascular Surgery, Anjo Kosei Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1991 Mar;39(3):345-50.
The patient was a 52-year-old female with bilateral atrioventricular valve regurgitation, who had SLL-type corrected transposition of the great arteries (C-TGA) accompanied by atrial fibrillation and ventricular extrasystoles (Lown 4b). In performing C-TGA in a patient at such an age, the ability of the anatomical right ventricle to maintain the systemic circulation is reduced, and so it is most important to maintain ventricular function at operation. In this case, we preserved the tricuspid valve and transplanted a biological valve at the tricuspid annulus, while the mitral valve was repaired with Kay's method of annuloplasty. Her postoperative progress was favorable and the echocardiography confirmed that the preserved tricuspid valve did not disturb the motion of the leaflets of the biological prosthesis.
该患者为一名52岁女性，患有双侧房室瓣反流，患有SLL型大动脉转位矫正术（C-TGA），伴有心房颤动和室性早搏（Lown 4b级）。在为这样年龄的患者进行C-TGA手术时，解剖学右心室维持体循环的能力下降，因此在手术中维持心室功能最为重要。在本病例中，我们保留了三尖瓣，并在三尖瓣环处移植了生物瓣膜，同时采用Kay瓣环成形术修复二尖瓣。她术后恢复良好，超声心动图证实保留的三尖瓣未干扰生物假体瓣叶的活动。
