Oshima Y, Yamaguchi M, Imai M, Ohashi H, Hosokawa Y, Tachibana H
Department of Thoracic and Cardiovascular Surgery, Kobe Children's Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1990 Aug;38(8):1389-94.
A 12-month-old infant, weighting 6.7 kg, underwent mitral valve replacement with a 17 mm Björk-Shiley prosthetic valve for parachute mitral valve, and patch closure of the associated ventricular and coronary sinus septal defects. Progressive pulmonary artery hypertension and heart failure required surgical intervention. The diagnosis of parachute mitral valve and associated lesions was established by echocardiogram and angiogram. Postoperative recovery was uneventful and he is doing well 3 years after the operation. To our knowledge this is the first successful case to be reported in the literature with such combination of the congenital anomalies.
一名12个月大、体重6.7千克的婴儿，因降落伞样二尖瓣畸形接受了二尖瓣置换术，植入一枚17毫米的Björk-Shiley人工瓣膜，并对相关的心室和冠状静脉窦间隔缺损进行了补片修补。进行性肺动脉高压和心力衰竭需要手术干预。降落伞样二尖瓣及相关病变的诊断通过超声心动图和血管造影得以确立。术后恢复顺利，术后3年他情况良好。据我们所知，这是文献中首例报道的具有此类先天性异常组合的成功病例。
