Takeuchi E, Tamaki S, Watanabe T, Yasuura K, Tanaka M, Abe T
Department of Thoracic Surgery, Nagoya University School of Medicine, Japan.
Nihon Geka Gakkai Zasshi. 1990 Jul;91(7):914-7.
A 54 year-old man was admitted to our hospital with a compliant of high fever following the dental treatment. He had the straight thoracic spine with absence of physiological kyphosis. Blood culture was positive for Streptococcus sanguis I. Echocardiography revealed the mitral valve regurgitation with some vegetation at the ruptured chordae tendinae of the posterior leaflet. The operation was performed after the sign of the inflammation was disappeared. We performed the mitral valve reconstruction following the Carpentier's technique. The half of the posterior leaflet was excised, and the annuloplasty and valvuloplasty was done with ease.
一名54岁男性因牙科治疗后出现高热症状入住我院。他的胸椎笔直,生理性后凸消失。血培养显示血链球菌I阳性。超声心动图显示二尖瓣反流,后叶腱索断裂处有一些赘生物。在炎症迹象消失后进行了手术。我们按照卡彭蒂埃技术进行了二尖瓣重建。切除了后叶的一半,并轻松完成了瓣环成形术和瓣膜成形术。