Zeybek Rahmi, Bacaksiz Ahmet, Sharifov Rasul, Sevgili Emrah, Ay Yasin
Department of Cardiovascular Surgery, Faculty of Medicine, BezmiÂlem Foundation University, Istanbul, Turkey.
Department of Cardiology, Faculty of Medicine, BezmiÂlem Foundation University, Istanbul, Turkey.
Kardiochir Torakochirurgia Pol. 2016 Mar;13(1):42-4. doi: 10.5114/kitp.2016.58964. Epub 2016 Mar 30.
We report the case of a patient with situs inversus totalis, annuloaortic ectasia complicated by aortic insufficiency and mitral regurgitation which induced congestive heart failure. Both valvular lesions were repaired physiologically using aortic root sparing Yacoub 'remodeling' technique and mitral ring annuloplasty. Valve sparing techniques can be used effectively even in patients with complicated clinical scenarios (like dextrocardia and annuloaortic ectasia) to avoid the potential risks related to prosthetic valve implantation and lifelong anticoagulation therapy.
我们报告了一例全内脏转位患者的病例,该患者患有主动脉环扩张并伴有主动脉瓣关闭不全和二尖瓣反流,进而引发了充血性心力衰竭。采用保留主动脉根部的亚库布“重塑”技术和二尖瓣环成形术对两个瓣膜病变进行了生理性修复。即使在临床情况复杂的患者(如右位心和主动脉环扩张)中,保留瓣膜技术也能有效应用,以避免与人工瓣膜植入和终身抗凝治疗相关的潜在风险。