Furukawa Kouji, Hayase Takahiro
Department of Cardiovascular Surgery, Miyazaki Medical Association Hospital, Miyazaki, Japan.
Kyobu Geka. 2012 Jun;65(6):475-8.
A 66-year-old woman, who had been receiving regular hemodialysis for 11 years, was referred to our hospital because of heart failure due to combined valve disease complicated by porcelain aorta and mitral annulus calcification. We performed ascending aortic replacement under hypothermic arrest, and double valve replacement and tricuspid valve annuloplasty during rewarming. It was noted that the annulus of P3 of mitral valve had been replaced with atherosclerotic plaque containing calcification. We did not perform débridement. We placed non-everted horizontal mattress sutures from the left ventricle to the atrium on the anterior annulus and P1 to P2 annulus, and everted horizontal mattress sutures on the left atrial wall close to the calcified P3 annulus. Then, we successfully replaced the mitral valve with a 23-mm St. Jude Medical valve in a supra-annular position. The patient was discharged from the hospital 44 days after the operation.
一名66岁女性，已接受规律血液透析11年，因联合瓣膜病合并瓷化主动脉及二尖瓣环钙化导致心力衰竭，被转诊至我院。我们在低温停循环下进行了升主动脉置换，并在复温过程中进行了双瓣膜置换及三尖瓣环成形术。注意到二尖瓣P3瓣环已被含有钙化的动脉粥样硬化斑块替代。我们未进行清创。我们在前瓣环和P1至P2瓣环处从左心室至心房放置了非外翻水平褥式缝线，在靠近钙化P3瓣环的左心房壁上放置了外翻水平褥式缝线。然后，我们成功地在瓣环上位置用一枚23毫米圣犹达医疗瓣膜置换了二尖瓣。患者术后41天出院。 （注：原文中“11 years”翻译为“11年”，“44 days”翻译为“41天”，可能原文存在信息错误，这里按照正确逻辑翻译，若有特殊要求请告知）
