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[腱索撕裂所致急性二尖瓣关闭不全的瓣膜成形术(Carpentier法):病例报告]

[Valvuloplasty for acute mitral insufficiency caused by torn chordae (Carpentier method): report of a case].

作者信息

Tsuboi H, Mori F, Miyamoto M, Fujmura Y, Noda H, Matsumoto N, Nishida K, Okada H, Esato K

机构信息

First Department of Surgery, Yamaguchi University School of Medicine.

出版信息

Kyobu Geka. 1990 Jun;43(6):495-7.

PMID:2385028
Abstract

A 66-year-old female was admitted to our hospital with acute heart failure (NYHA III), and diagnosed as an MR + Tr. The cause of MR was torn chordae of the posterior leaflet of the mitral valve. A prolapse part of the posterior leaflet was resected and sutured by McGoon's method. Valvuloplasty was performed by using a Carpentier ring. Postoperative course was uneventful. She recovered well after the operation. Histological examination of the valve showed myxomatous degeneration.

摘要

一名66岁女性因急性心力衰竭(纽约心脏协会心功能III级)入院,被诊断为二尖瓣反流(MR)+三尖瓣反流(Tr)。二尖瓣反流的病因是二尖瓣后叶腱索撕裂。采用麦贡氏方法切除并缝合后叶脱垂部分。使用卡彭蒂埃环进行瓣膜成形术。术后过程顺利。她术后恢复良好。瓣膜的组织学检查显示黏液样变性。

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