Ishikawa Norihiko, Watanabe Go, Tarui Tatsuya, Horikawa Takahumi, Seguchi Ryuta, Kiuchi Ryuta, Tomita Shigeyuki, Ohtake Hiroshi, Kawachi Kenji
Department of Cardiovascular Surgery, NewHeart Watanabe Institute, Tokyo, Japan.
Asian J Endosc Surg. 2018 Feb;11(1):35-38. doi: 10.1111/ases.12403. Epub 2017 Jul 13.
We successfully treated a case of mitral regurgitation due to chest trauma in Barlow's disease. A 71-year-old man was admitted with severe mitral regurgitation after blunt compression of the chest by a heavy object 5 months earlier. Preoperative examination revealed wide chordae tendineae rupture and myxomatous changes to the bileaflets. Neo-chordae reconstruction of the anterior mitral leaflet using loop technique, triangular resection of the posterior mitral leaflet, and ring annuloplasty was performed via surgical robot. Robotic mitral valve plasty for severe mitral regurgitation due to chest trauma in Barlow's disease was achieved safely with good clinical and excellent cosmetic results.
我们成功治疗了一例巴洛氏病（二尖瓣脱垂综合征）合并胸部创伤所致二尖瓣反流的病例。一名71岁男性在5个月前胸部被重物钝性挤压后，因严重二尖瓣反流入院。术前检查发现腱索广泛断裂，二尖瓣双叶有黏液样改变。通过手术机器人对二尖瓣前叶采用袢环技术进行新腱索重建、二尖瓣后叶三角形切除及瓣环成形术。通过手术机器人成功完成了巴洛氏病合并胸部创伤所致严重二尖瓣反流的二尖瓣成形术，临床效果良好，美容效果极佳。
