Shingaki M, Koide M, Kunii Y, Watanabe K, Fuchigami T
Department of Cardiovascular Surgery, Seirei Hamamatsu General Hospital, Hamamatsu, Japan.
Kyobu Geka. 2011 May;64(5):410-3.
A 64-year-old male with giant left atrium and giant coronary sinus, who had aortic valve regurgitation, prosthesis valve paravalvular leakage in mitral position and prosthesis valve malfunction in tricuspid valve position, was successfully treated with double valve replacement, paravalvular leakage repair and volume reduction of left atrium and coronary sinus. Giant coronary sinus was about 70 mm in diameter and was thought to be induced by persistent left superior vena cava, high right atrium pressure and prosthesis valve malfunction in tricuspid valve position. Lung volume was so much increased by volume reduction of left atrium and coronary sinus and patient's symptoms were much improved.
一名64岁男性，患有巨大左心房和巨大冠状静脉窦，存在主动脉瓣反流、二尖瓣位人工瓣膜瓣周漏以及三尖瓣位人工瓣膜功能障碍，成功接受了双瓣膜置换、瓣周漏修复以及左心房和冠状静脉窦减容治疗。巨大冠状静脉窦直径约70毫米，被认为是由持续左上腔静脉、右心房高压以及三尖瓣位人工瓣膜功能障碍所致。通过左心房和冠状静脉窦减容，肺容积明显减小，患者症状显著改善。
