Saito Naoki, Yoshimura Takahiro, Miyatsu Katsuyuki, Ikeda Masahiro
Department of Cardiovascular and Thoracic Surgery, Toyama Red Cross Hospital, Toyama, Japan.
Kyobu Geka. 2017 Mar;70(3):203-206.
The patient was a 69-year-old man who had 1st experienced exertional dyspnea approximately 1 month earlier. He visited our hospital for treatment because his symptoms had gradually worsened and he had developed orthopnea. Echocardiography revealed an atrial septal defect(ASD) and a quadricuspid aortic valve with moderate regurgitation. As patch closure of the ASD alone could pose a risk of exacerbating the untreated aortic regurgitation, we performed both procedures patch closure and aortic valve replacement through median sternotomy concomitantly. The postoperative course was favorable. We report our experience with a rare case of quadricuspid aortic valve with ASD and a review the relevant literature.
该患者为一名69岁男性，大约1个月前首次出现劳力性呼吸困难。由于症状逐渐加重并出现端坐呼吸，他前来我院接受治疗。超声心动图显示房间隔缺损（ASD）和四叶式主动脉瓣伴中度反流。由于仅对房间隔缺损进行补片修补可能会加重未治疗的主动脉反流，我们通过正中胸骨切开术同时进行了补片修补和主动脉瓣置换这两种手术。术后过程顺利。我们报告了一例罕见的合并房间隔缺损的四叶式主动脉瓣病例的经验，并回顾了相关文献。
