Tsutsumi Yasushi, Numata Satoshi, Seo Hiroyuki, Ohashi Hirokazu
Department of Cardiovascular Surgery, Fukui Cardiovascular Center, 2-228 Shinpo, Fukui, 9100833, Japan.
Gen Thorac Cardiovasc Surg. 2013 Apr;61(4):223-5. doi: 10.1007/s11748-012-0131-2. Epub 2012 Aug 1.
Systolic anterior motion of mitral anterior leaflet is a serious clinical condition and it is hard to control medically. Alfieri edge-to-edge repair has been thought one of the useful techniques to improve abnormal anterior systolic motion with hypertrophic obstructive cardiomyopathy. Here, we present a 71-year-old lady who had the left ventricular outflow tract obstruction, severe mitral valve regurgitation with systolic anterior motion. The patient had a history of aortic valve replacement 5 years ago. She was successfully treated with transaortic edge-to-edge mitral valve plasty and myectomy of the left ventricle. Postoperative course was uneventful.
二尖瓣前叶收缩期向前运动是一种严重的临床病症，药物治疗难以控制。阿尔菲里缘对缘修复术被认为是改善肥厚型梗阻性心肌病异常收缩期向前运动的有效技术之一。在此，我们报告一位71岁女性，她患有左心室流出道梗阻、严重二尖瓣反流伴收缩期向前运动。该患者5年前有主动脉瓣置换史。她通过经主动脉缘对缘二尖瓣成形术和左心室肌切除术获得成功治疗。术后病程平稳。
