Nomura Anan, Fukuda Ikuo, Daitoku Kazuyuki, Fukui Kozo
Department of Thoracic and Cardiovascular Surgery, Hirosaki University Graduate School of Medicine, 5-Zaifucho, Hirosaki, 036-8562 Aomori, Japan.
Interact Cardiovasc Thorac Surg. 2011 Apr;12(4):652-4. doi: 10.1510/icvts.2010.261370. Epub 2011 Jan 19.
A 67-year-old female was admitted to our hospital for surgical treatment of the aortic and mitral valvular disease. She had chronic renal failure and dialysis was started 13 years previously. A diagnosis of severe aortic stenosis and regurgitation with severe mitral stenosis was made, and she underwent aortic valve and mitral valve replacement. Because mitral annular calcification had deeply invaded into the subvalvular region, enucleation of calcified core was performed using the ultrasonic aspiration system. The posterior mitral annulus was reconstructed using equine pericardium and aortic and mitral valve replacement was performed. The postoperative course was uneventful.
一名67岁女性因主动脉瓣和二尖瓣疾病入院接受手术治疗。她患有慢性肾衰竭，13年前开始进行透析。诊断为重度主动脉瓣狭窄并反流伴重度二尖瓣狭窄，她接受了主动脉瓣和二尖瓣置换术。由于二尖瓣环钙化已深深侵入瓣下区域，使用超声抽吸系统对钙化核心进行了摘除。二尖瓣后环使用马心包进行重建，并进行了主动脉瓣和二尖瓣置换术。术后过程顺利。
