Ishibashi Y, Ohno K, Takeda H, Ishizaka M, Kiyota M, Kataoha K, Ohta S
Department of Surgery, Hakodate National Hospital.
Kyobu Geka. 1990 Feb;43(2):143-6.
A unique case of 52-year-old woman with a ventricular septal defect associated with tricuspid regurgitation complicating infective endocarditis was reported. Under cardiopulmonary bypass, the VSD was closed directly and tricuspid valve was replaced with a Carpentier-Edwards valve. Intraoperative examination showed that the VSD was perimembranous type (5 mm in diameter), all three leaflets were destroyed and one chordae of anterior leaflet was ruptured. Her postoperative course was uneventful and she has been well.
报告了一例独特的病例,一名52岁女性,患有室间隔缺损合并三尖瓣反流,并发感染性心内膜炎。在体外循环下,直接闭合室间隔缺损,并用Carpentier-Edwards瓣膜置换三尖瓣。术中检查显示室间隔缺损为膜周型(直径5毫米),所有三个瓣叶均受损,前叶的一根腱索断裂。她术后恢复顺利,情况良好。