Furukawa Kouji, Hayase Takahiro, Sakaguchi Shuhei, Yano Mitsuhiro
Department of Cardiovascular Surgery, Miyazaki Medical Association Hospital, Miyazaki, Japan.
Kyobu Geka. 2014 Jun;67(6):493-5.
A 58-year-old woman was referred to our hospital because of acute myocardial infarction. Percutaneous coronary intervention for total occlusion of the circumflex coronary artery was performed successfully. However, she had heart failure that was gradually getting worse because of mitral valve regurgitation. Therefore, we performed valve plasty using the resection and suture method for mitral regurgitation caused by partial papillary muscle rupture. Her postoperative course was uneventful, and she was discharged on postoperative day 26. At 6 months after the operation, her functional status was New York Heart Association(NYHA) class I and transthoracic echocardiogram showed no mitral regurgitation( MR).
一名58岁女性因急性心肌梗死被转诊至我院。成功进行了经皮冠状动脉介入治疗以处理回旋支冠状动脉完全闭塞。然而，由于二尖瓣反流，她出现了逐渐加重的心力衰竭。因此，我们采用切除缝合方法对因部分乳头肌破裂导致的二尖瓣反流进行了瓣膜成形术。她术后恢复顺利，术后第26天出院。术后6个月时，她的功能状态为纽约心脏协会（NYHA）I级，经胸超声心动图显示无二尖瓣反流（MR）。
