Saxena Pravin, Bhan Anil, Sharma Rajesh Kumar, Mehta Yatin
Department of Anaesthesiology and Institute of Critical Care, Medanta . The Medicity, Gurgaon, Haryana, India.
Ann Card Anaesth. 2015 Oct-Dec;18(4):587-8. doi: 10.4103/0971-9784.166477.
A 25-year-old man presented with a history of breathlessness for the past 2 years. He had a history of operation for Tetralogy of Fallot at the age of 5 years and history suggestive of Rheumatic fever at the age of 7 years. On echocardiographic examination, all his heart valves were severely regurgitating. Morphologically, all the valves were irreparable. The ejection fraction was 35%. He underwent quadruple valve replacement. The aortic and mitral valves were replaced by metallic valve and the tricuspid and pulmonary by tissue valve.
一名25岁男性，有过去2年的呼吸急促病史。他5岁时曾因法洛四联症接受手术，7岁时有风湿热病史。经超声心动图检查，他所有的心脏瓣膜均有严重反流。从形态学上看，所有瓣膜均无法修复。射血分数为35%。他接受了四联瓣膜置换术。主动脉瓣和二尖瓣被金属瓣膜置换，三尖瓣和肺动脉瓣被组织瓣膜置换。
